400b Request Report Of Absence - Grande Prairie And Distric Catholic Schools Page 2

Download a blank fillable 400b Request Report Of Absence - Grande Prairie And Distric Catholic Schools in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete 400b Request Report Of Absence - Grande Prairie And Distric Catholic Schools with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Form 400B
 
COMPASSIONATE LEAVE/TRAVEL FORM
Excerpt (clause) from current collective agreement:
(TO BE COMPLETED BY TEACHERS FOR LEAVE UNDER CLAUSE 11.01.1 &/or 11.01.2)
11.01.1
For not more than five (5) teaching days because of critical illness of a spouse, child, son-in-law, daughter-in-law, and the following
relatives of either teacher or teacher’s spouse: grandparent, parent, brother, sister, grandchild, nephew, niece, brother-in-law, sister-in-
law. Additional time may also be allowed at the discretion of the Board for travel.
11.01.2
For not more than five (5) teaching days because of death of a spouse, child, son-in-law, daughter-in-law, and the following relatives of
either teacher or teacher’s spouse: grandparent, parent, brother, sister, grandchild, nephew, niece, brother-in-law, sister-in-law. If death
occurs during leave for critical illness, the critical illness leave ceases upon death and leave for death commences. Additional time may
also be allowed at the discretion of the Board for travel.
Guideline:
There are two criteria:
1)
Does the relationship fall under clause 11.01.1 or 11.01.2?
2)
In the case of critical illness, is the illness of an immediate life threatening nature?
_____________________________________________ is accessing compassionate leave as follows:
(Teacher Name)
(a) DEATH OF
_____________________________________________
__________________________________
Name
Date of Death
 Spouse
 Child
 Son-in-law
 Daughter-in-law
 Grandparent
 Parent
 Brother
 Sister
 Grandchild
 Nephew
 Niece
 Brother-in-law
 Sister-in-law
(b) CRITICAL ILLNESS OF
___________________________________________________
Name
 Spouse
 Child
 Son-in-law
 Daughter-in-law
 Grandparent
 Parent
 Brother
 Sister
 Grandchild
 Nephew
 Niece
 Brother-in-law
 Sister-in-law
Please specify the nature of the critical illness _________________________________________________________________________
______________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
SPECIFIC DATES OF ABSENCE
_______________________________________________________________________
(including travel)
NUMBER OF DAYS ABSENT
_______________
NUMBER OF DAYS REQUIRED FOR TRAVEL
_______________
TOTAL NUMBER OF DAYS REQUIRED FOR COMPASSIONATE LEAVE _______________
DISTANCE OF TRAVEL __________ FROM ___________________________________ TO ___________________________________
(City, Province)
(City, Province)
EMPLOYEE’S SIGNATURE _________________________________________ DATE ________________________________________
H:\HOME\FORMS\400 Series Employee Relations\400B Request Report of Absence ATA
August 21, 2014
2

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Report Of Absence For Military Duty Report Of Absence For Military Duty Business
Report Of Absence Report Of Absence Business
Report Of Tax On Meals And Lodging Form Report Of Tax On Meals And Lodging Form Financial
Form L-8 - Request For Leave Of Absence To Teach In A Charter School Form L-8 - Request For Leave Of Absence To Teach In A Charter School Business
Form Ao 191 - Report Of A Grand Jury's Failure To Concur In An Indictment - United States District Court Form Ao 191 - Report Of A Grand Jury's Failure To Concur In An Indictment - United States District Court Legal
Certification And Report Of Frcp 26f Conference And Disctovery Plan Certification And Report Of Frcp 26f Conference And Disctovery Plan Legal
Form 323-a - Reclaimer's And Transporters Monthly Tax Report Of Oil Transported, Stored And Sold Form 323-a - Reclaimer's And Transporters Monthly Tax Report Of Oil Transported, Stored And Sold Financial
Form 61a200(a) - Report Of Total Unit System And Kentucky Operations - Commonwealth Of Kentucky Department Of Revenue - 2011 Form 61a200(a) - Report Of Total Unit System And Kentucky Operations - Commonwealth Of Kentucky Department Of Revenue - 2011 Financial
Instructions For Forms Ft-941 And Ft-941.1 - Terminal Operator's Monthly Report Of Diesel Motor Fuel And Motor Fuel Inventory And Terminal Operator's Individual Account Reconciliation Instructions For Forms Ft-941 And Ft-941.1 - Terminal Operator's Monthly Report Of Diesel Motor Fuel And Motor Fuel Inventory And Terminal Operator's Individual Account Reconciliation Financial
Form Gpr - Reclaimer's And Transporters Monthly Tax Report Of Oil Transported, Stored And Sold During - State Of Oklahoma Form Gpr - Reclaimer's And Transporters Monthly Tax Report Of Oil Transported, Stored And Sold During - State Of Oklahoma Financial

Related Categories

Parent category: Business
Download
Go
Page of 2