HomeMy WebLinkAboutOCDSB 453 Leave Return Notification Form 2020LEAVE APPROVAL
Refer to Leave Request form 452 for terms and conditions
OCDSB 453 Return Notification Form (January 2025)
Your leave has been approved, as per your application:
EIN: ________ Employee Name:_______________________________________________ Employee Group: ________________
School/Location: ___________________________________________________________ Right of Return: ___ yes ___ no
Leave Type: ___________________________________ Leave Period: from __________ to ___________ % of Leave: ________
Additional Info (ie. leave year, final year of leave): _______________________________________________________________
Date Issued: ____________ Issued by: ___________________________________
RETURN NOTIFICATION
Teachers on full school year or full semester leave must return this document to HR no later than Mar 1st for the following Sept.
In the case of a statutory leave, please return to Employee Services at least one full working month prior to your expected return.
I am returning fully from leave for my full contract status on ___________________. Please action me back to pay. (See
Required Actions below.)
I am requesting an extension (full or partial) to my leave from __________________ to __________________for (________%)
If your leave approval from HR indicated "Final", you do not qualify for another extension. Review your collective agreement
with respect to leave provisions.
I am partially resigning from % to % effective __________________ Note: partial resignations are
subject to approval.
I am fully resigning from the employ of the OCDSB effective __________________. Note if your resignation is outside of the
collective agreement notification dates, mutual consent will be required.
I am retiring from the employ of the OCDSB effective __________________ . Note if your retirement is outside of the collective
agreement notification dates, mutual consent will be required.
Employee Services Team Manager/ HR Advisor will contact you for additional information if required.
Required Actions: I have made my Principal/Manager/Supervisor aware of my request/return.
I understand that failure to return this notification by the timeline above will negatively impact reinstatement of my pay.
If I am on leave during the period of May to September in any given year, I must complete my Offence Declaration prior to my
return to work. (To complete go to www.ocdsb.ca – Staff Portal – Sign in – Employee Inquiry – Sign in – Offence – Declaration). If
you have difficulties with the Offence Declaration please contact our Client Services Centre at 613-596-8273.
As an employee who is teacher certified, I have attached proof of my OCT membership fees for the calendar year of my return.
As an employee who is a Registered ECE, I have attached proof of my College of ECEs membership fees for the calendar year of
my return.
If your personal information has changed (i.e. change of address, phone number, name change, marital status), submit it by
logging in to www.ocdsb.ca – Staff Portal – Sign in – Employee Services – Personal Information Update. You must also change
this information in your ApplytoEducation account.
Signature: _______________________________________ Date: _________________________________
EMPLOYEE SERVICES STAFF USE ONLY
Approved return date OR advise employee of alternate return date as follows: ___________________
Approved Extension (verified employee's eligibility for an extension under the collective agreement/handbook applicable to the
leave that this extension follows). Obtain HR Officer/SOI signature if required ____________________
This is the Employee’s ______ year of leave; Right of Return: __________________________
Final year; details:__________________________________________________________________________________
Denied Extension (employee not eligible for extension OR denied due to: _____________________
Contact Employee to advise (OCT or OD missing; alternative dates; other _______________________)
Partial Resignation Full Resignation Retirement
mutual consent granted (required for part-time resignation, or if request received after collective agreement notice date)
Process EAF to action partial/full resignation or retirement (indicate if mutual consent was required)
ES Team Manager/ HR Advisor's Signature _____________________________ Date ____________________________
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