HOLIDAY PAY CLAIM FORM

You are entitled to approximately 1.6 days holiday pay per calendar month worked

Name:

Address:

Contact tel. number:

Company temping at:

I have temped for New Frontiers since      /    /

I now claim holiday pay for ________days

Dates of holiday:

To be paid in Salary week commencing:

I declare that I have not been employed in any capacity whilst taking my holiday. I understand that to work on a voluntary or paid basis whilst on holiday or to claim unemployment benefit contravenes the Working Time Regulations, which have enabled me to claim this holiday pay.

Signed: ___________________________

Name: ____________________________

Date:      /     /

Please return to: Accounts Dept, New Frontiers, Lancaster House, 33 Islington High St, London, N1 9LH

Tel: 0845 202 2222   Fax: 020 7833 9995   Email: accounts@newfrontiers.co.uk