In-service Leave Application

An In-service Leave Application must be submitted for an eligible employee who is currently employed by your organisation and is requesting long service leave.

The form has 3 sections that must be completed by your employee and a section that must be completed by an authorised contact of your organisation.

Please check that your employee has included their correct personal details.

Please ensure your employee has:

• Selected the start and end date (minimum 14 continuous calendar days must be requested)
• Entered the number of ordinary hours. Note: ordinary hours agreed to by employer and employee
• Signed and dated the form

This section of the form must be completed by an Authorised Contact of the organisation.

Confirmation document

A confirmation document will be available to download from the Correspondence section of Online Services once the application has been approved by Coal LSL.

Retain this document because the information will be required to submit a Claim for Reimbursement.

Finding employee LSL numbers

You can access this information via the Current Employees section of Online Services. Here you will be able to see all eligible employees and their LSL number we have recorded for your organisation.

All forms need to be submitted via Online Services in the supplied Adobe Acrobat PDF format (.pdf). View our support page for further instructions on how to submit your leave application online.

For questions, please call 1300 852 625 from Monday to Friday between 8.30am and 5.00pm (AEST/AEDT when in operation).