HomeMy WebLinkAboutOCDSB 452A A&S Leave of Absence Without Pay – A&SLEAVE OF ABSENCE WITHOUT PAY REQUEST A&S and Union Exempt
(Not to be used for Leave Extensions, X/ Y, Job Sharing, or any other paid leave)
OCDSB 452A Leave o f Absence Without Pay – Oct 2018
If you are interested in applying for a full or partial leave of absence without pay for the coming school year please
complete the attached leave request form. Leaves of absence are approved in advance of the following school year.
Eligibility - To be considered for a leave of absence without pay, you must have been continuously employed with
OCDSB for at least two (2) years on a regular basis immediately prior to the effective date of the leave.
Period of Leave - Leaves for may be granted for up to one (1) year. Extensions may be granted annually provided the
total leave period, including the initial leave and any extension(s), does not exceed two years. An Employee on any form
of leave is not eligible for another form of leave until the expiry of the initial leave period.
Leave Approval - If you are interested in a leave of absence complete the attached leave form and submit it to your
Supervisor / Manager to confirm their support of the request. The authorized leave form must be submitted at least four
(4) weeks* prior to your requested leave start date to Human Resources.
*Note: PSSP must submit leave request(s) by March 31st for the following September
Leave Denial - If your leave request is not approved, you may request in writing the reasons for the denial.
Seniority during Leave - There shall be no interruption to continuous service for seniority, subject to the applicable
Collective Agreement.
Increments – Your increment step will be delayed for the period of full-time leave
Benefits Costs during Leave - Once the leave of absence has been approved, you will be sent a benefits
statement outlining your LTD coverage (if applicable). You will be asked to confirm if you wish to continue LTD during
your leave and a monthly direct withdrawal (from the same account you receive your pay) will be established to collect the
LTD premiums. If you working and taking a partial leave without pay, LTD premiums will continue to be deducted from
your regular pay during your leave.
Note: ESP, PSSP, PSSU, SSP, and Union Exempt employees are not eligible to continue LTD coverage while on an
approved leave, you will not be issued a benefits statement.
For any benefits you have with OTIP you must contact them directly. You can reach OTIP at 1-866-783-6847.
Promotional Opportunities during Leave - If you apply for a promotion or a position of responsibility, and make
yourself available for interviewing, your consideration shall not be affected by absence on your leave. If you are selected
for a promotion or a position of responsibility you may be required, at the option of the Employer, to terminate your leave
to accept the position.
Pension Purchase for Leave Period –
OMERS: When you return from your leave, you will have the option of buying all, some or none of your broken service for
your leave period. The Pension Administrator in the OCDSB’s Payroll Department will provide you with your purchase
options and will calculate the cost. For further information regarding leave periods refer to the OMERS website at
http://www.omers.com/. If you become teacher qualified you must email HR immediately to transfer into TPP.
TPP: You may continue your pension contributions during your leave (full-time leave only). Payroll will inform TPP about
your coming absence through our regular reporting process. If you are registered for iAccess Web, the TPP’s secure
member website, you can go online (www.otpp.com) to investigate your buyback options and for further information. You
can also call TPP at 1-416-226-2700 or 1-800-668-0105 if you are not registered. If you are taking a partial leave, you will
not be eligible to purchase TPP credit for your absence unless you are working one semester and taking the other
semester off on an approved leave of absence.
Right of Return from Leave - You will have right of return (for up to 2 years) upon completion of your leave, to the
location from which you left, subject to surplus/redundancy procedures.
Questions? - You can find the provisions governing leaves in your Collective Agreement / Handbook.
LEAVE OF ABSENCE WITHOUT PAY REQUEST A&S and Union Exempt
(Not to be used for Leave Extensions, X/ Y, Job Sharing, or any other paid leave)
OCDSB 452A Leave o f Absence Without Pay – Oct 2018
THIS SECTION TO BE COMPLETED BY EMPLOYEE
EIN: Employee
Name: Employee Group:
FTE Position Work Location
Address: Telephone:
I am applying for a leave of absence without pay for: From To
% of leave YYYYMMDD YYYYMMDD
Reason for Leave: Family Study Travel Other:
Please provide additional information regarding your leave request (if itinerant which position(s) is leave request for)
I have been continuously employed on a regular basis with the OCDSB for at least two (2) years immediately prior the
effective date of this leave.
YES NO, I have taken leave(s) (partial or fulltime) from the OCDSB within the previous 2 years
Employee Signature Date
(Typed signature is accepted if form emailed from Beam account)
THIS SECTION TO BE COMPLETED BY MANAGER / SUPERVISOR
Manager / Supervisor signature indicates authorization for the leave subject to Human Resources approval.
Comments:
Manager / Supervisor Signature Date
(Typed signature is accepted if form emailed from Beam account)
THIS SECTION TO BE COMPLETED BY HR OFFICER / ADMINISTRATOR
HR Officer/Administrator signature confirms that:
The Employee has been employed with the OCDSB for at least two (2) years immediately prior to start date of leave
The leave duration is within the provisions stated in the Collective Agreement / Handbook
Comments:
This leave has been: Approved (Proceed with Staffing) Denied (Email Employee with reasons)
HR Officer/Administrator Signature Date
THIS SECTION TO BE COMPLETED BY HR OPERATIONS
Empl.
Group
Job
Code
Loc.
Code
EST
Cd.
Start Date End Date FTE Reason
Cd.
PA
%
SE
%
VA
%
R.O.R
0 Y
N
Employee Emailed: OCDSB 453 Leave Approval / Return Notification Form & Benefits Statement
Comments:
Copy on HR File Original To Audit Input: Audit:
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