cupe time off form aug 08

Document Sample
cupe time off form aug 08 Powered By Docstoc
					                                 Annapolis Valley Regional School Board
                                             Phone: (902) 538-4622; 1-800-850-3887; Fax: (902) 538-4635


                                            AVRSB - CUPE ARTICLES 26 & 28
Name:___________________________________________________                        SAP Employee No.:_____________________
Worksite:________________________________________________                       Position:_______________________________
Date of Day(s) Absent : ____________________________________________________________________________
No. of Permanent Hours Worked Daily: ______________ No. of Days Absent__________or Hrs Absent____________


Reason for Absence: Please check the Article for which the Leave being requested is under and write a brief explanation

         REQUEST FOR LEAVE OF ABSENCE - PAID                                                          Absentee Code

 CUPE Article 28.6 - Jury / Witness Duty                                                                     0620
 CUPE Article 28.9 - Graduation Leave                                                                        0642
 CUPE Article 28.11 - Personal Care Leave                                                                    0143
   (a) Serious illness of a member of the Employee’s immediate family
   (b) Urgent personal matters
 CUPE Article 26.8 –Family Illness Serious        (Sick Bank)                                                0610
   (a) Serious illness of spouse or child
   (b) Medical appointments of spouse or child
 CUPE Article 28.2 – Bereavement Leave                                                                       0630

         REQUEST FOR LEAVE OF ABSENCE - UNPAID
 CUPE Article 28.7 – Unpaid Special Leaves of Absences                                                       0144

         Explanation:




 Signature of Employee                                                                  Date


 Signature of Supervisor                                                                Date
     Employee is to complete the form and forward it to his/her supervisor for signature. The form is then forwarded to the
     Coordinator of Employee & Labour Relations at Regional Office for approval. Approved form will be forwarded back to
     worksite location for correct recording of time sheets and then copied to employee.




 Signature of Coordinator of Employee and Labour Relations                              Date




                                                                  Dates taken         Amount taken
   Please circulate approved copy to:
        Immediate Supervisor
        Time Entry Clerk
        Employee
                                                                                                                        Revised 22 Aug, 2008

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:10/4/2012
language:Latin
pages:1