Leanas Sandbox
Form 2
formtest
Sample Page
Sandbox Start
Form 2
Leave Form Test
Employee Name & Surname
*
Position
*
Employment Commencement Date
Date From
*
Day of Week (From)
Date Until
*
Day of Week (Until)
Leave Type
*
Annual
Medical (Sick)
Study
Compassionate
Unpaid
Annual Leave
Total days
Total days
Medical (Sick) Leave
Total days
Total days
Study Leave
Total days
Total days
Compassionate Leave
Total days
Total days
Unpaid Leave
Total days
Total days
Medical Certificate Submitted
Yes
No
Health Practitioner Name
Diagnosis
Leave approved
Yes
No
Approved by
To be verified
Leave approved
Medical Certificate on record
Health Practitioner’s Name
Diagnosis (Medical Condition)
Submit
If you are human, leave this field blank.