[{"id":"21ca833b-9b0f-4f07-9d94-35f6a5668368","order":1,"text":"UNPAID LEAVE REQUEST AND AUTHORISATION","fontSize":"20","textAlign":"center","bold":true,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"c473cb57-053d-401a-bcd0-c8f2c57b76b0","order":2,"text":"Discretionary Unpaid Leave of Absence","fontSize":"16","textAlign":"center","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"8368b5f5-4128-41ea-9f95-66f7665e674c","order":3,"text":"Reference: [Reference number]
Date of this form: [Date of this form]","fontSize":"14","textAlign":"right-align","bold":false,"underline":false,"marginBottom":"24","cflou":false,"active":true},{"id":"3ace01d9-415c-412a-b710-988b3c2ab8e9","order":4,"text":"PARTIES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"a043175c-6327-40ea-b5bb-1db9fde6302e","order":5,"text":"This form records the Employee's request for a period of discretionary unpaid leave of absence and the Employer's decision in respect of that request. It is made between [Employer name] of [Employer registered or trading address] (the \"Employer\")","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"d6d90372-5f9d-44ad-9c47-fcc377dec36c","order":6,"text":"and [Employee full name], employed as [Job title] in [Department or team] (the \"Employee\"), whose payroll or staff number is [Payroll / staff number].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"8774080a-ffa6-415c-a995-37e1cdd68ef7","order":7,"text":"The Employee's continuous employment with the Employer began on [Continuous employment start date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"e7fb2047-9d2b-4ca7-a367-49b95539ab6a","order":8,"text":"PURPOSE OF THIS FORM","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"6f513556-a29b-404a-81db-4b3e5a6e44b7","order":9,"text":"Unpaid leave of this kind is granted at the Employer's discretion. There is no statutory or contractual right to it, and it is separate from any statutory leave entitlement (such as annual leave, family-related leave, time off for dependants, or jury service). The purpose of this form is to set out, in writing and before the leave begins, the dates approved, the basis of the decision and the conditions attached, so that the position is clear for payroll, handover and business planning and is not left to an informal understanding.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"71f84d01-ac7c-4d5e-addc-ced2cf801577","order":10,"text":"THE LEAVE REQUESTED","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"a48a8b36-4ee7-4b9a-bc6e-45a90c65e13c","order":11,"text":"The Employee requests unpaid leave of absence from and including [Requested start date]. The reason given by the Employee for the request is: [Reason for the request].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"09560c51-ac6e-41bf-87cf-d136965d46e0","order":12,"text":"The Employee submitted this request on [Date the request was submitted]. The Employee confirms that all accrued paid annual leave available for use has been considered before requesting unpaid leave, and that the information given in support of this request is true and complete to the best of the Employee's knowledge.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"b14f4e36-cdec-40be-9f0a-c8da838d0ac3","order":13,"text":"THE EMPLOYER'S DECISION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"16508f7f-310b-4fce-83d5-9e080e7b8650","order":14,"text":"Having considered the request and the needs of the business, the Employer has decided to GRANT the requested unpaid leave on the terms set out in this form.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"1c396e44-6757-41b3-a0a2-788656fe1c27","order":15,"text":"The leave is approved to begin on [Approved start date]. The total approved period of unpaid leave is [Approved duration (e.g. 10 working days)]. The Employee's last working day before the leave is [Last working day before leave].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"2859acdd-1169-4c52-9b86-002c4b584beb","order":16,"text":"The Employee is expected to return to work on [Expected return-to-work date].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"45a52936-7671-48d3-bd49-189cdc5c0717","value":"OPEN","type":"remove","operator":"="}]},{"id":"82fe1051-3d28-4f45-bc97-5546016ee11d","order":17,"text":"A fixed return date has not been set at the time of approval. The Employee and the Employer will agree the return date in writing no later than [Date by which a return date will be confirmed], failing which the Employer may treat the leave as ending and require the Employee to return to work on reasonable notice.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"45a52936-7671-48d3-bd49-189cdc5c0717","value":"SPECIFIED","type":"remove","operator":"="}]},{"id":"b2505d66-d9c6-4227-a61f-b9dd9291a821","order":18,"text":"The Employee's manager responsible for this leave is [Approving manager name and title].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"6fc07830-2889-4f81-b1cb-9e787bab569a","order":19,"text":"Having considered the request and the needs of the business, the Employer has decided to DECLINE the requested unpaid leave. The Employer's reasons are: [Reason the request is declined].","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"GRANTED","type":"remove","operator":"="}]},{"id":"174259db-4980-480f-8c39-83416905caa9","order":20,"text":"This decision does not affect the Employee's existing terms of employment, and the Employee may raise the matter through the Employer's grievance procedure if dissatisfied. Where the law permits, the Employee remains entitled to take any statutory leave for which the Employee qualifies.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"GRANTED","type":"remove","operator":"="}]},{"id":"52b41f66-2fcf-4c71-b420-d82bad51fcf4","order":21,"text":"PAY AND BENEFITS DURING THE LEAVE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"5f732ae2-07e1-4db9-a860-cca4d5f5f6a2","order":22,"text":"The approved leave is unpaid. The Employee will receive no salary, wages or other contractual remuneration in respect of the approved period, and pay will be adjusted on a pro-rata basis for any part-period. Payroll will be instructed to suspend salary payments for the duration of the leave and to resume them on the Employee's return.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"63d5d930-bf09-48a9-bd62-613c233548c5","order":23,"text":"Contractual benefits in kind (for example a company vehicle, private medical cover or other benefits) will continue during the leave unless the Employer notifies the Employee otherwise in writing; any cost ordinarily borne by the Employee through payroll deduction will be recovered on the Employee's return where it could not be deducted during the unpaid period.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"68fabf28-4ba3-40d6-aaff-8cfd17b30523","order":24,"text":"CONTINUITY OF EMPLOYMENT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"07ce3089-ecd1-4655-9a04-a997ff708aff","order":25,"text":"Continuity of employment is preserved throughout the leave. The leave does not break the Employee's period of continuous employment, and service-related entitlements will continue to accrue by reference to the Employee's original start date.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"8bb2887b-a14a-4b1e-8543-63ed168ee9b6","value":"BROKEN","type":"remove","operator":"="}]},{"id":"6c571c90-45c2-4c87-978d-57aa443a979a","order":26,"text":"The parties have agreed in writing that the approved period of unpaid leave will not count towards the Employee's period of continuous employment for the purpose of calculating service-related entitlements, although the contract of employment itself continues. This does not affect any statutory provision that operates to preserve continuity regardless of agreement.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"8bb2887b-a14a-4b1e-8543-63ed168ee9b6","value":"PRESERVED","type":"remove","operator":"="}]},{"id":"160cef51-2706-403e-b073-82255d0a777a","order":27,"text":"ANNUAL LEAVE ACCRUAL","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"8a9046a4-3279-4bc2-af93-fa73649fb787","order":28,"text":"Statutory annual leave will continue to accrue during the period of unpaid leave in accordance with the Working Time Regulations 1998. Contractual annual leave above the statutory minimum will be dealt with as set out in the Employee's contract and the Employer's policy.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"e765128e-9aea-4002-b523-106ec1613950","value":"SUSPENDED","type":"remove","operator":"="}]},{"id":"e0906c6d-682e-4fcc-8b3e-cd9f876c2bed","order":29,"text":"Contractual annual leave above the statutory minimum will not accrue during the period of unpaid leave. Statutory annual leave will continue to accrue to the extent required by law, which cannot be excluded by agreement.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"e765128e-9aea-4002-b523-106ec1613950","value":"ACCRUES","type":"remove","operator":"="}]},{"id":"288edad6-7461-4a9d-9100-a30471f815e8","order":30,"text":"PENSION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"809794cf-7735-4279-988f-24d547e57cbd","order":31,"text":"Pension contributions will continue during the leave. The Employee remains responsible for any employee contributions, which (where they cannot be deducted from pay during the unpaid period) will be recovered on the Employee's return or by separate arrangement. The Employer's automatic enrolment duties continue to apply.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"407e2075-ce3a-43b2-99ec-d140dfa88a97","value":"PAUSE","type":"remove","operator":"="}]},{"id":"df63b7b2-449c-4707-8059-d9c79fce269d","order":32,"text":"Employer and employee pension contributions will be paused for the duration of the unpaid period and will resume on the Employee's return, subject always to the Employer's automatic enrolment duties and the rules of the pension scheme.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="},{"field":"407e2075-ce3a-43b2-99ec-d140dfa88a97","value":"CONTINUE","type":"remove","operator":"="}]},{"id":"61d758b9-05eb-43ca-a3fb-7bb43f3e0b0a","order":33,"text":"HANDOVER AND ARRANGEMENTS BEFORE THE LEAVE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"61e04cbc-f775-40b0-8aad-2a6a755255ec","order":34,"text":"Before the leave begins, the Employee will complete a reasonable handover of outstanding work, ongoing matters and key contacts to [Person handover is to be given to], and will leave work in an orderly state. The Employee will return, before the start of the leave, any Employer property not required during the leave if the Employer so requests, and will keep secure any property retained.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"6aafa860-8382-40b1-81a4-30d4a82d6909","order":35,"text":"CONDUCT DURING THE LEAVE","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"67a65749-c7b5-4348-8a6f-a3b6802ea645","order":36,"text":"The contract of employment continues during the leave and is not suspended. The Employee remains bound by all continuing obligations, including those relating to confidentiality, intellectual property, conflicts of interest and, where applicable, restrictions on other paid work. The Employee will not, without the Employer's prior written consent, undertake other employment or engagement during the leave that conflicts with the Employee's duties or competes with the Employer's business.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"fe947fc2-1fd6-4f21-b686-6c9bfb3eee34","order":37,"text":"The Employee will keep the Employer informed of any change to the Employee's contact details and of any matter materially affecting the agreed return date, and will respond to reasonable communications from the Employer relating to the return to work.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"e6d04dd0-1eec-474f-b364-1757dc7cacc1","order":38,"text":"DISCRETIONARY NATURE AND NO PRECEDENT","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"097fed32-788d-49e0-a9bb-07c939af9b41","order":39,"text":"This grant of unpaid leave is made on a wholly discretionary basis in respect of this request only. It does not vary the Employee's contract of employment, does not create any right or expectation of unpaid leave in the future, and is not a precedent. The Employer is not obliged to grant any further request, and each request will be considered on its own merits.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"c7e50983-0982-4633-8344-8dc1ff4334ef","order":40,"text":"VARIATION, EARLY RETURN AND CANCELLATION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"f29a1697-74cc-4221-804a-2a396a16b5a1","order":41,"text":"Any change to the approved dates or to the terms of this leave must be agreed in writing by both parties. The Employee may request an earlier return to work, which the Employer will consider reasonably. The Employer may, on reasonable written notice and acting reasonably, ask the Employee to return early or curtail the leave where there is a genuine business need, save where the leave or part of it is protected by statute.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"0d3fb4cf-4de3-4bf8-942e-7cca3ef9c1ef","order":42,"text":"RETURN TO WORK","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"4c9d4ec1-28ad-4d59-b667-9c19fe18d410","order":43,"text":"On the agreed return date the Employee will return to the same role on the same terms, unless otherwise agreed in writing. If the Employee does not return on the agreed date and has not agreed an extension in writing, the Employer may treat the absence in accordance with its absence and disciplinary procedures. The Employee will give the Employer reasonable advance notice of any difficulty in returning on the agreed date.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true,"displayConditions":[{"field":"40237042-54b0-4992-a6d0-042947a40ded","value":"DECLINED","type":"remove","operator":"="}]},{"id":"59beff8f-6241-45b7-b48a-8910468804de","order":44,"text":"DATA PROTECTION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"18b75719-e91f-4aad-9896-4339dba77747","order":45,"text":"The Employer will process the personal data contained in this form for the purposes of administering the Employee's leave, pay and employment record, in accordance with the UK General Data Protection Regulation and the Data Protection Act 2018 and the Employer's privacy notice for staff. The form will be retained for as long as is necessary for those purposes and any applicable legal or regulatory requirement.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"4a223b6d-f0c5-43bd-a79b-0317c4502ada","order":46,"text":"GENERAL","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"84829383-7337-4f33-a77e-e676674e54c2","order":47,"text":"This form, together with the Employee's contract of employment and the Employer's policies, sets out the whole of what has been agreed in respect of this period of leave. If any provision of this form is found to be unlawful or unenforceable, the remaining provisions will continue in full force and effect. No failure or delay by the Employer in exercising any right under this form will operate as a waiver of that right. Nothing in this form excludes or limits any right the Employee has under statute.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"14","cflou":false,"active":true},{"id":"02d93728-19b2-4697-a7c4-832aa81a7105","order":48,"text":"GOVERNING LAW AND JURISDICTION","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"8","cflou":false,"active":true},{"id":"87a5d29c-c900-402e-a849-6a621f8573ec","order":49,"text":"This form and any dispute or claim arising out of or in connection with it (including any non-contractual dispute or claim) are governed by the law of England and Wales, and the parties submit to the exclusive jurisdiction of the courts of England and Wales. Nothing in this clause affects the jurisdiction of the employment tribunals.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"20","cflou":false,"active":true},{"id":"753527b8-f68d-462e-8acb-a5b40f1c68c5","order":50,"text":"SIGNED BY THE PARTIES","fontSize":"16","textAlign":"left","bold":true,"underline":true,"marginBottom":"14","cflou":false,"active":true},{"id":"fa5e7245-3215-4da2-a605-fab2afffdbcc","order":51,"text":"Signed for and on behalf of the Employer:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"07a601ac-4fa3-41eb-81a2-c4c89fb950ed","order":52,"text":"Name: [Employer signatory name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"2c967879-fb3e-45f6-97db-8ef71c19f432","order":53,"text":"Position: [Employer signatory position]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"458fcfe0-9fed-4cca-a279-0b3cbfa10977","order":54,"text":"Signature: ______________________________ Date: [Date of employer signature]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"18","cflou":false,"active":true},{"id":"6194cc26-4e79-44bb-80f2-94d73ee4304e","order":55,"text":"Signed by the Employee:","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"6","cflou":false,"active":true},{"id":"41810da3-c969-488c-8bcd-717184ed3dd1","order":56,"text":"Name: [Employee name]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"fc4cd1eb-1de6-47b9-965b-943d7b49b227","order":57,"text":"Signature: ______________________________ Date: [Date of employee signature]","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"4","cflou":false,"active":true},{"id":"fef3c6f9-243b-49c4-bae5-68ceea0e5540","order":58,"text":"By signing, the Employee confirms that the Employee has read and understood this form and agrees to the terms of the leave recorded above.","fontSize":"14","textAlign":"left","bold":false,"underline":false,"marginBottom":"10","cflou":false,"active":true}]