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Full Name: First Date of Absence:
/ /
Your Email Address: Return to Work Date:
/ /
Contact Phone Number: Number of paid days in this holiday:
Date of Birth: Number of unpaid days in this holiday:
/ /
Employee Number:  
 (see payslip)
 
COS Branch Registered At:  
 
  I understand that I am transmitting personal information over an insecure internet connection and take personal responsibility in the event of any third party intervention.
phone:
01565 755 192
fax:
01565 634 614
email:
knutsford
location
phone:
01625 511 502
fax:
01625 615 119
email:
macclesfield
location
phone:
01606 46490
fax:
01606 46172
email:
northwich
location
phone:
01565 654 677
fax (1):
01565 653 206
fax (2):
01565 653 680
location
phone:
0845 430 2972
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