General Leave of Absence Without Pay Approval Acknowledgment Letter
General Leave of Absence Without Pay Approval Acknowledgment Letter
Date
Name
Address
Dear _________________:
Your request for a general leave of absence without pay has been approved from
Effective Date to End Date by Name or Position
Should you wish to return to work at an earlier date, you are required to provide
me with a written request of your intention to return to work at least (number of
days) days in advance of your return date.
(Delete if employee is not PEA or BCGEU) As per Article (if BCGEU enter
11.3; if PEA enter 11.03) of the Main Agreement, if the leave exceeds 30
days, seniority does not accrue for the entire period of the leave.
You are not entitled to statutory holiday pay during the leave.
You will only accrue vacation for months in which you work a minimum of 70
hours.
If you wish to maintain your benefit plan coverage (extended health, dental,
group life insurance and Long Term Disability) submit the Option to Continue
Employee Benefits While on Leave form through an AskMyHR Online Service
Request. You will be contacted with the costs and your options for payment.
When you return to work, contact MyHR (1-877-277-0772) to check on the
status of your benefits coverage. If your leave is longer than 90 days and you
have not elected to maintain your benefit coverage, you will have to re-apply
for coverage when you return to work.
You will not be eligible for sick leave and related disability benefits (short term
illness and injury plan or long term disability) since you are already on a
leave.
Pension contributions cannot be made while you are on leave without pay,
but after returning to work you can purchase pensionable service for the time
you were away. » Go to Purchase of Service on MyHR.
Please review these conditions carefully to ensure you fully understand the
implications of each one. If you accept all of the terms and conditions contained
herein, please sign and return this letter to me.
Yours truly,
Name
Position
________________ _________________
Signature Date