48/52 Week Employment Cycle - Change to Work Arrangement
Academic and Professional Staff Only
This form should reach Human Resources no later than 5pm on WEDNESDAY prior to the pay week
1. Employee Details (Please use block letters)
Internal Phone
Number
Employee Number
First Name
Last Name
School/Work Unit
Position Title
2. Flexible Work Arrangement Details
The 48/52 week employment cycle is available only to Academic and Professional staff employed on a continuing basis or a
fixed-term contract of at least 52 weeks from the date of commencing a 48/52 employment cycle
An employee’s continued participation in the 48/52 week employment cycle is subject to annual review and approval
ARRANGEMENT REQUEST
Start Date
(Sunday of new pay period)
/
/
End Date
(12 months from start date)
/
/
50/52 Week Employment Cycle (10 days additional leave pro-rata)
48/52 Week Employment Cycle (20 days additional leave pro-rata)
46/52 Week Employment Cycle (30 days additional leave pro-rata)
Reasons for request:
3. Declaration
I have discussed the above arrangement with my manager.
I have submitted all 46-50/52 leave and annual leave in ESS.
Employee’s
Signature
Date
4. Recommendation
I have discussed the above arrangement with the employee.
I have approved all 46-50/52 leave and annual leave in ESS.
Signature
E-number
Name
Date
5. Approval (relevant delegated Authority – refer to Staffing Delegation Schedule)
Signature
E-number
Name
Date
If denied, the requesting employee must be informed of the reasons for denial. Detail reasons for denial and suggest alternatives, if
relevant.
For information on the collection, storage and privacy of the personal information provided on this form, please visit:
http://www.rmit.edu.au/about/governance-and-management/governance/privacy/
Valid as of March 2015