HomeMy WebLinkAboutHUR080-003 Leave - Non-union Employees Procedure
Procedure
Procedure Title: Leave – Non-union Employees Procedure Number
HUR 080-003
Reference
Employment Standards Act
Workplace Safety & Insurance Act
Date Originated (m/d/y)
September 1, 2021
Date Revised (m/d/y)
September 1, 2022
Pages
16
Approval: Chief Administrative Officer
Point of Contact
Director, Human Resources
Procedure Objective
The Corporation of the City of Pickering (“City”) is committed to establishing and maintaining an
orderly system for the administration of various forms of leave, including vacation leave, paid
holidays, leaves of absence, sick leave, bereavement leave, court and jury duty, professional
leave, pregnancy/adoption/parental leave and other statutory leaves as outlined in the
Employment Standards Act, 2000 (ESA).
The objective of this Procedure is to:
1. Ensure uniform standards and procedures respecting the provisions and administration of
leaves for non-union Employees within the City.
2. Provide a system that will facilitate monitoring the various forms of leave applied for and
granted to ensure consistent and accurate application and detect potential abuses.
3. Ensure employees, immediate supervisors and Directors are aware of the leave program
for non-union employees of the City.
4. Provide a system of record keeping.
Index
01 Definitions
02 Responsibilities
03 Leave of Absence Reporting Requirements
04 Vacation
05 Statutory Holidays
06 Sick Leave
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Procedure Number: HUR 080-003
07 Pregnancy and/or Parental Leave
08 Statutory Leaves
09 Bereavement Leave
10 Professional Development Leave
11 Witness and Jury Duty
12 Voting Time Off
13 Unpaid Leave of Absence
01 Definitions
01.01 Annual Salary – An employee’s annual salary based on full-time,
continuous employment in their regular position, excluding monies paid for
acting assignments, overtime, etc.
01.02 Case Management Team – A team comprised of the employee, their
immediate supervisor and a Human Resources Representative who work
collaboratively to develop appropriate accommodations for injured or ill
employees during the Disability Managem ent and Return to Work process.
01.03 City – The Corporation of the City of Pickering.
01.04 Daily Salary – An employee’s annual salary divided by 260.
01.05 Dependent – A person who is a resident in Canada or the United States,
and who is:
a) the spouse of the employee;
b) the natural, legally adopted, or step child of the employee or spouse,
who is unmarried, not engaged in active employment, or dependent
on the employee or spouse for financial support. The dependent must
be under 21 years of age or under 25 years of age and enrolled in full-
time attendance at an accredited educational institution.
01.06 Full-time Hours – Employees assigned to work regularly scheduled bi-
weekly hours consisting of 70 hours.
01.07 Hourly Rate – An employee’s annual salary divided by 1820.
01.08 Immediate Family – A spouse, including common-law spouse, children,
including foster or stepchildren, parents, including stepparents of an
employee.
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Procedure Number: HUR 080-003
01.09 Immediate Supervisor – The direct non-union supervisor of the employee.
01.10 Lieu Time – Paid time off instead of additional pay for hours worked in
excess of 7 hours per day or 35 hours per week.
01.11 Loss of Earnings (LOE) Benefits – Payment from WSIB for employees
with a loss of earnings as a result of a workplace injury or illness.
01.12 Non-union Employee – An employee of the City designated as out of scope
on the basis of professional and/or management criteria established under
the Ontario Labour Relations Act and who is subject to the City’s
Compensation Procedures for Non-union employees.
01.13 OMERS – Ontario Municipal Employees Retirement System.
01.14 Permanent Employee – An employee hired into a permanent position and
who has successfully completed the required period of time, which
constitutes probationary service.
01.15 Permanent Part-time Employee – An employee working less than 35 hours
per week, or 70 hours bi-weekly, hired into a permanent position and who
has successfully completed the required period of time, which constitutes
probationary service.
01.16 Sick Leave – Sick leave means the period of time an employee is entitled to
be absent from work by virtue of being sick or disabled, quarantined as a
result of exposure to a contagious disease, under examination or treatment
by a qualified medical practitioner, or injured because of an accident which is
not compensable under the Workplace Safety and Insurance Act. Sick leave
payments are intended only for the protection of the income of employees
who are unable to work for these reasons.
01.17 Spouse – An adult who is legally married to their respective partner or who
cohabits in a conjugal relationship outside of marriage.
01.18 Statutory Leave – Job-protected time off work in certain situations as
defined and determined by the Ontario Employment Standards Act.
01.19 Non-permanent Employee – A temporary employee typically hired to
perform overflow work and to fill in during peak work periods, or one who is
hired on a non-permanent basis to replace an existing employee who is on
an approved leave.
01.20 Vacation Entitlement – Earned vacation entitlement in days based on the
years of service.
01.21 Vacation Leave – Leave without loss of pay granted in each vacation year
based on earned vacation credits.
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Procedure Number: HUR 080-003
01.22 Vacation Year – A period of 12 consecutive months beginning January 1
and ending December 31.
01.23 Work Day – Those regularly scheduled hours the employee is normally
scheduled to work.
01.24 WSIB – Workplace Safety & Insurance Board.
02 Responsibilities
02.01 Chief Administrative Officer to:
a) Actively support the Procedure.
b) Approve the Procedure and any amendments, as required, from time to
time.
c) Authorize any vacation carryover as per 04.02 c).
d) Approve any paid leaves of absence.
02.02 Human Resources to:
a) Administer, interpret and ensure consistent application of the Procedure.
b) Assist Directors, Division Heads, immediate supervisors and employees
in the administration and application of the Procedure.
c) Recommend Procedure amendments to the Chief Administrative Officer
(“CAO”).
d) Counsel employees on leave options available to them.
e) Record and process the required leave documentation through Payroll.
f) Track and report leave periods to OMERS and provide employee with
corresponding leave purchase information.
g) Oversee the disability management process as an active member of the
Case Management Team for Long Term Disability (“LTD”). File
necessary LTD documentation with the City’s benefit carrier.
h) Provide annual vacation entitlement listings to each Department and
Payroll.
02.03 Director/Division Head to:
a) Actively support the Procedure.
b) Authorize vacation carryover requests as per 04.04 c).
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Procedure Number: HUR 080-003
c) Approve any request for a leave of absence where appropriate.
02.04 Immediate Supervisor to:
a) Complete all required forms, records and reports respecting the
Procedure.
b) Ensure that employees understand the Procedure.
c) Approve employee requests for vacation leave.
d) Assist employees in identifying eligibility under the Procedure. Ensure
employees complete required forms and provide necessary
documentation to support their request.
02.05 Employees to:
a) Be aware of the regulations, policies and procedures respecting the
various programs of leave of the City.
b) Comply with all regulations, policies and procedures respecting
application for various leaves covered under the Procedure.
03 Leave of Absence Reporting Requirements
03.01 A leave of absence from work, including leave of absence without pay,
pregnancy/parental/adoption leave and other statutory leaves, professional
leave, or witness/jury duty leave, is requested by the employee through the
electronic Leave Reporting Form (Appendix I) and are subject to the approval
of the immediate supervisor, director and where applicable, the CAO.
03.02 For leaves of absence as outlined in 03.01 the department is required to
forward the finalized Leave Form to Human Resources for processing along
with an Action Notice within the designated timeframe of the appropriate pay
period. Human Resources will follow their normal practices and timelines for
processing Action Notices for Payroll.
03.03 Requests for vacation and use of accumulated lieu time are submitted to the
immediate supervisor for approval using the Vacation Lieu Request Form
(Appendix 2).
04 Vacation
04.01 Vacation Entitlement
a) A permanent full-time non-union employee who has attained the
consecutive years of service in the chart below on December 31st in any
year shall be entitled to the corresponding vacation entitlement without
loss of pay in the year following the completion of the required years of
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Procedure Number: HUR 080-003
service. For the first incomplete calendar year of service, an employee
shall earn one and a quarter (1.25) days for each complete month of
service to a maximum of fifteen (15) days unless otherwise negotiated at
the time of hire. Standard annual vacation entitlements will be awarded
as follows:
Standard Annual Vacation Entitlement
Consecutive Years of Service Vacation Entitlement
Less than one year to less than five years Fifteen working days
Five years but less than six years Sixteen working days
Six years but less than seven years Seventeen working days
Seven years but less than eight years Eighteen working days
Eight years but less than nine years Nineteen working days
Nine years but less than ten years Twenty working days
Ten years but less than eleven years Twenty-one working days
Eleven years but less than twelve years Twenty-two working days
Twelve years but less than thirteen years Twenty-three working days
Thirteen years but less than fourteen years Twenty-four working days
Fourteen years but less than fifteen years Twenty-five working days
Fifteen years but less than sixteen years Twenty-six working days
Sixteen years but less than seventeen years Twenty-seven working days
Seventeen years but less than nineteen years Twenty-eight working days
Nineteen years but less than twenty-one years Twenty-nine working days
Twenty-one years but less than twenty-five years Thirty working days
Twenty-five years but less than twenty-seven years Thirty-one working days
Twenty-seven years but less than thirty Thirty-two working days
Thirty years but less than thirty-two years Thirty-three working days
Thirty-two years but less than thirty-five years Thirty-four working days
Thirty-five years or more Thirty-five working days
b) Vacation entitlements for permanent full-time employees may be
adjusted when employment triggers the continuous employment criteria
as defined by the Employment Standards Act (ESA). An employee’s
adjusted vacation entitlement will align with the ESA until the years of
continuous employment align with the City’s standard vacation
entitlement structure.
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Procedure Number: HUR 080-003
c) Employees who negotiated a higher level of vacation than afforded in
the standard vacation entitlement will follow an Alternate Vacation
Progression schedule on a two-year staggered basis as outlined in
Appendix 3.
d) Employees who negotiated vacation entitlements outside the
entitlements contemplated in the Alternate Vacation Progression
schedule will follow the same two-year staggered principal.
e) Unpaid vacation, or vacation pay, for permanent part-time or temporary
employees shall be granted and paid in accordance with the ESA (as
amended from time to time).
f) The vacation year will run from January 1 to December 31.
04.02 Prorating Vacation:
a) Vacation entitlement is an earned benefit and as such it is earned at a
rate of one-twelfth (1/12) for each calendar month of service. In the case
of an incomplete month of service, the employee will receive vacation
entitlement only if they have worked one-half (1/2) or more of the
working days in the month.
b) An employee upon ceasing employment shall receive the prorated
amount of their vacation entitlement for the calendar year in the event of
employment for less than the complete year. All employees will be
required to pay back vacation time taken if the amount taken exceeds
the prorated entitlement earned as of the date their e mployment ends.
c) In the case of an incomplete month of service, vacation entitlements will
be prorated for employee’s performing modified work who have not
worked one-half (1/2) or more of the working days in the month.
Furthermore, full-time permanent employees performing modified work
must be paid for a minimum of one-half (1/2) their normal work day to be
considered a work day for the purpose of determining vacation
entitlement.
04.03 Prorating Vacation and Employee Absences
a) Leaves of absence in excess of one (1) continuous month will reduce
the paid vacation entitlement on a prorated basis, except for absences
related to qualifying Employment Standards Act leaves.
b) An employee who is off work and being paid by a LTD Insurance Carrier
will have their paid vacation entitlement reduced on a prorated basis.
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Procedure Number: HUR 080-003
c) Where an employee is absent from work for more than eight (8)
continuous months as a result of a workplace illness/injury and is in
receipt of WSIB benefits, their paid vacation entitlement shall be
reduced on a prorated basis.
d) Employees on pregnancy or Parental leave shall continue to accrue
vacation entitlement in accordance with the entitlement outlined for their
consecutive years of service, or the alternate progression as negotiated.
04.04 Taking of Vacation
a) An employee will be entitled to receive vacation leave subject to the
operational needs of the department:
i. In one continuous period pending approval of the employee’s
immediate supervisor.
ii. In separate periods of not less than ½ day.
b) Vacation leave may be taken at any time during the year in which it is
earned subject to approval of the immediate supervisor.
c) The Director may grant an employee’s request to carry over a maximum
of five (5) working days of vacation to the next year. In extraordinary
circumstances, the CAO may approve carry over requests that exceed
five (5) working days.
d) Employees will not be paid for accumulated vacation entitlements except
when exiting the organization as stated in 04.02 b) or in extraordinary
circumstances when authorized by the CAO.
e) An employee who is an admitted in-patient in hospital or confined under
doctor’s direction as a result of illness or injury occurring immediately
prior to their scheduled vacation may have their vacation re-scheduled, if
possible. In all cases, a medical certificate stating the inclusive dates the
employee was admitted or confined and the date of the occurrence of
the illness or injury must be provided prior to the scheduled vacation.
04.05 Recall During Vacation – Expenses
a) When, during any period of authorized vacation leave, an employee is
recalled to duty, they will be reimbursed, for reasonable expenses
incurred, in proceeding to their place of duty and in returning to the place
from when they were recalled if the employee immediately resumes
vacation upon completing the assignment for which they were recalled.
b) If a recall from vacation results in any expenses, such as cancellation of
reservations, loss of deposits, penalty payments or travel and related
expenses for their dependents in excess of those reasonably anticipated
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Procedure Number: HUR 080-003
had they not been recalled, the employee will be reimbursed for
reasonable expenses.
04.06 Cancellation of Vacation – Expenses
a) Where a specific period of vacation leave is authorized and such leave
is cancelled by the City prior to commencement, any expenses as
detailed in Section 04.05 b), may be reimbursed provided the employee
has made every reasonable effort to minimize the cost of such
cancellation.
05 Statutory Holidays
05.01 All permanent employees shall be granted the following holidays with pay:
a) New Years’ Day
b) Family Day
c) Good Friday
d) Easter Monday
e) Victoria Day
f) Canada Day
g) Civic Holiday
h) Labour Day
i) National Day for Truth & Reconciliation
j) Thanksgiving Day
k) Christmas Day
l) Boxing Day
m) ½ day on Christmas Eve
n) ½ day on New Years’ Eve
o) One day floating holiday, to be taken on a day mutually agreeable to the
employee and their immediate supervisor. New employees who
commence employment after November 11th shall not be entitled to a
floating holiday during the first incomplete calendar year of employment.
p) Any other day proclaimed as a National or Provincial holiday by the
Federal or Ontario Government.
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Procedure Number: HUR 080-003
05.02 Should any of the holidays fall on a normal work day, the employee will receive
the day off with pay provided that the employee has worked the full number of
scheduled hours of work on the work day immediately preceding and
immediately following the holiday unless excused by the City, or an employee
was absent due to:
a) An approved leave of absence.
b) Bereavement leave
c) Vacation approved by the City.
d) Any other reasonable cause.
05.03 If one of the holidays falls on or is observed during an employee’s vacation
period, they shall be granted another day off with pay in lieu thereof.
05.04 The City may designate one (1) day off to be taken with Christmas Day or
Boxing Day instead of the two (2) half (1/2) days off for Christmas Eve and
New Years’ Eve.
05.05 Should any of the holidays fall on a Saturday or Sunday, it will be observed on
the preceding Friday or the following Monday as determined by the City.
05.06 Holiday pay for permanent full-time employees shall be computed on the basis
of the regularly scheduled number of hours the employee would otherwise
have worked (up to a maximum of seven (7) hours) at the employee’s regular
hourly rate of pay.
05.07 Holiday pay for part-time employees shall be computed in accordance with the
ESA.
05.08 An employee who has undertaken to work on any of the holidays and fails to
report to work shall forfeit all pay for that day unless their absence is due to
illness verified by a medical certificate as required by the City or otherwise
provides a reason satisfactory to the City.
06 Sick Leave
06.01 Sick Entitlement
Each full-time permanent employee will earn sick leave at the rate of one and
one half (1½) days per month of service and each permanent part-time
employee will earn sick leave at a rate of 0.07% of each hour worked except:
a) Where an employee is off work and being paid by a LTD Insurance
Carrier;
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Procedure Number: HUR 080-003
b) Where an employee is absent from work for more than eight (8)
continuous months as a result of workplace illness/injury and is in
receipt of WSIB benefits.
c) Where an employee is absent from work on an unpaid leave of absence
in excess of one (1) continuous month.
d) When the employee has not worked one-half (1/2) or more of the
working days in the month in the case of an incomplete month of
service. Full-time permanent employees performing modified work must
be paid for a minimum of one-half (1/2) their normal work day to be
considered a work day for the purpose of sick leave accrual.
06.02 The unused portion of an employee’s sick entitlement will be accumulated and
carried forward from one year to the next.
06.03 Sick Leave Entitlement Usage:
a) Employees are subject to the provisions set out in HUR 130 -025
Attendance Management Procedure.
b) Employees are not entitled to paid sick leave during the first month of
service.
c) Employees will not be paid cash for accumulated sick leave credits.
d) In the case of illness or a required medical procedure of a member of
the employee’s immediate family (spouse, dependent children or
parents), and where the employee must provide for the n eeds of the
family member, the employee shall be entitled to use a maximum of five
(5) sick leave days per calendar year. Sick leave used for this purpose
shall be drawn from the employee’s accumulated sick leave credits.
06.04 When an employee is injured at work and in receipt of WSIB loss of earnings
(LOE) benefits instead of regular pay, the City will make up the difference
between such WSIB compensation and regular pay by deducting the difference
from the employee’s accumulated paid sick leave entitlements. Employees who
have exhausted their paid sick leave entitlements will receive WSIB LOE
benefits only.
06.05 Permanent full-time employees are required to apply for LTD benefits after an
accumulated absence of 17 weeks (elimination period) for the same
illness/disability. Employees are not permitted to continue to use sick leave
credits once they have accumulated the 17 weeks of disability, unless denied
for LTD benefits by the Insurance Carrier, or during the period where a decision
is pending or during the appeal process. Employees will be required to pay
back their sick leave entitlement if LTD benefits are approved retroactively past
the 17 week elimination period.
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Procedure Number: HUR 080-003
06.06 Unpaid sick leave may be established as credited service for OMERS pension
plan purposes. The leave must be purchased by the end of the year in which
the leave occurred. If the leave is not purchased, OMERS will recognize the
leave as eligible service.
07 Pregnancy and/or Parental Leave
07.01 Pregnancy and/or Parental leaves as defined under the ESA will be granted in
accordance with the terms and provisions of the ESA, as amended from time to
time.
07.02 An employee requesting a pregnancy and/or parental leave will compete the
Leave Reporting Form and submit it to their immediate supervisor at least two
weeks prior to the commencement of the leave. If requested by the immediate
supervisor, the Form shall be accompanied by a certificate from a qualified
medical practitioner stating the expected date of birth. Employees applying for
Parental Leave only must provide the Corporation with a minimum of four (4)
weeks written notice of the date the leave is to begin.
07.03 Pregnancy and/or parental leave will be without salary. While on leave, an
employee will continue to accrue vacation and sick leave credits. They will also
continue to be covered by the City’s Basic Life, LTD, Extended Health Care,
Dental and Vision Plans.
07.04 Pregnancy and/or parental leave may be established as credited service for
OMERS pension plan purposes. The leave must be purchased by the end of
the year following the year in which the period of leave ended. If the leave is
not purchased by the employee, OMERS will recognize it as eligible service.
07.05 An employee returning from pregnancy and/or parental leave within the
approved period will be given the same position, if available, or a comparable
position at their former salary.
08 Statutory Leaves
08.01 Statutory leaves as defined under the ESA will be granted in accordance with
the terms and provisions of the ESA, as amended from time to time.
08.02 An employee requesting a statutory leave will compete the Leave Reporting
Form and submit to their immediate supervisor prior to the commencement of
the leave or as soon as reasonably possible after the commencement of the
leave.
08.03 Statutory leaves will be without salary. While on leave, an employee will
continue to accrue vacation and sick leave credits. They will also continue to be
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Procedure Number: HUR 080-003
covered by the City’s Basic Life, LTD, Extended Health Care, Dental and Vision
Plans.
08.04 Statutory leaves may be established as credited service for OMERS pension
plan purposes. The leave must be purchased by the end of the year following
the year in which the period of leave ended. Otherwise, they are recognized by
OMERS as eligible service.
08.05 An employee returning from a statutory leave within the approved period will be
given the same position, if available, or a comparable position at their former
salary.
09 Bereavement Leave
09.01 A permanent employee shall be granted bereavement leave without loss of
pay, according to the schedule below, immediately following the death of;
a) an employee’s spouse (including common-law spouse) child, stepchild,
parent, stepparent, sibling, stepsibling up to five (5) consecutive working
days off.
b) an employee’s grandparent, grandchild, parent-in-law, or other relative
living with the employee, up to three (3) consecutive working days off.
c) an employee’s sibling-in-law, child-in-law, sibling of employee’s parents
(aunt and uncle), one (1) working day off to attend the funeral.
09.02 If funeral services are held at a later date, such entitlement shall not be
consecutive, but shall be scheduled as approved by the employee’s immediate
non-union supervisor, upon written request of the employee .
09.03 In the event such a death occurs, or the funeral is held at a distant point
(minimum 500 km away) requiring extra traveling time, the employee may be
granted up to two additional work days off without loss of pay, subject to the
prior approval of the immediate supervisor.
09.04 Employees may have their vacation rescheduled if a death occurs which
entitles them to bereavement leave in accordance with 08.01. To be eligible to
have their vacation rescheduled, the employee must notify their immediate
non-union supervisor immediately when such a death occurs.
10 Professional Development Leave
10.01 Special leave with pay to a maximum of one day per subject may be granted to
an employee to write an examination for an employer-approved course at an
accredited school or educational institution, provided the employee has
demonstrated that the examination to be written directly relates to the
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Procedure Number: HUR 080-003
employee’s function and will improve his/her qualifications and ability to
perform those duties.
10.02 Special leave with pay to a maximum of one day may also be granted to an
employee for the purpose of receiving a degree or diploma at a school,
technological institute, professional association or university convocation or to
receive special honor at a meeting of a professional society.
11 Witness and Jury Duty Leave
11.01 An employee who has been called to jury duty or subpoenaed as a Crown
witness or subpoenaed as a witness in a civil or criminal proceeding shall
receive for each day absent from regularly scheduled working hours, the
difference between average hourly earnings lost and the amount of jury or
witness fee received, providing the employee furnishes the City with a
Certificate of Service signed by the Clerk of the Court showing the amount of
any fee received.
11.02 To ensure that the City acts and is perceived to act impartially in any legal
matter in which the City is not directly involved as a plaintiff or defendant, an
employee will not testify in such matters unless formally subpoenaed.
11.03 Under no circumstances will an employee appear as an “expert witness” or
otherwise represent the City or their position at the City without a formal
subpoena having been served on them.
11.04 Notwithstanding the above clauses, an employee may act as a witness without
benefit of a subpoena on behalf of the City where the City is the plaintiff or
defendant.
12 Voting Time Off
12.01 Upon request, an employee who is an elector will, while the voting stations are
open on election day, be allowed three (3) consecutive hours for the purpose of
casting a vote.
12.02 If the employee’s hours of work do not allow for the necessary hours, the City
will allow the employee any additional time for voting that is necessary to
provide them the consecutive hours. The additional time for voting will be
granted at the convenience of the City.
12.03 The City will not make any deduction from the pay of an employee nor impose
any penalty by reason of their absence from work during these consecutive
hours.
13 Unpaid Leave of Absence
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Procedure Number: HUR 080-003
13.01 The City may grant a leave of absence without pay to any employee requesting
such a leave for reasons which the City determines to be legitimate. The
recipient shall use the leave of absence only for the purpose for which it was
granted.
13.02 An employee requesting a leave of absence without pay, which is less than one
(1) month in duration, will submit their written request for leave to their Director
for approval. When a leave of absence without pay is requested for more than
one (1) month, both the Director and CAO must approve the leave request. In
both cases, a copy of the approved leave request is forwarded to Human
Resources for information purposes. Except in emergencies, such requests
must be submitted as follows:
a) For a leave of absence up to one (1) month, at least two (2) weeks prior
to the requested start date of the leave.
b) For a leave of absence of over one (1) month, at least one (1) month
prior to the requested start date of the leave.
c) The employee will be informed if the leave is approved or not approved
within one (1) week of the receipt of the request for same.
13.03 An employee will not be granted a leave of absence except as provided for in
the ESA during the twelve (12) month period immediately following their
appointment to the City.
13.04 An employee who is on a leave of absence without pay for more than one (1)
month shall not accrue further vacation and sick leave credits.
13.05 The City shall cease its payment of the premium cost of the employee’s
benefits after one (1) continuous month of unpaid leave. If the employee
requests, they will be permitted to continue eligible ben efits if they arrange to
pay the premium costs of benefits through Human Resources before the leave
commences.
13.06 Employees, may continue their service in the OMERS pension plan, but are
required to pay both the employee and the employer portion of the
contributions.
13.07 An employee engaged in other employment for gain while on leave of absence
without the express written consent of the City, will be deemed to have
automatically terminated their employment with the City.
Appendices
Appendix 1 Leave Reporting Form
Appendix 2 Vacation/Lieu Request Form
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Procedure Number: HUR 080-003
Appendix 3 Alternate Vacation Progression Schedule
Appendix 1
Leave of Absence
Request Form
Employee Name: Position Title:
Department: Division:
Employment
Status
Permanent ☐ Temporary ☐
Hours of Work Full-time ☐ Part-time ☐
Leave Type No. of
Hours/Days
Start Date End Date
☐LOA Without pay
☐Pregnancy Leave
☐Parental Leave
☐Adoption Leave
☐Professional Leave
☐Witness/Jury Duty
☐Other
Additional
Information
Employee Signature Date
Immediate Supervisor Date
Division Head Date
Director Date
For any unpaid leave of more than on month in duration
Chief Administrative Officer Date
HR0305-09/29
Submit original form (with applicable supporting
documentation) to the Human Resources Department Employee #:
To: [Click here and type name]
"[Click here and type title]"
"[Click here and type date]"
From: [Click here and type name]
"[Click here and type title]"
202X Vacation Entitlement Summary Day(s)
Carry-over (if applicable)
Vacation Entitlement
Perfect Attendance
(if applicable)
Float Day 1
Total
Vacation
I am requesting approval to schedule vacation day(s) as
follows: For ½ day requests please indicate am or pm
Lieu
I am requesting approval to schedule lieu
time as follows: For ½ day requests please
identify am or pm
Vacation Date(s)
Day(s)
Requested
Day(s)
Remaining
Mgmt
Approval Lieu Date(s)
Hours
Requested
Mgmt
Approval
Request to carry over to 202X
vacation (if applicable)
Lieu Time Carry
Over to 202X
(if applicable)
Lieu bank cannot exceed 5 working days
202X Vacation and
Lieu Time Request
Ongoing history of current year’s vacation/lieu
Bold new requests or revisions to an existing
request
Indicate in brackets (delete) if time scheduled is
not taken and update days remaining accordingly
Detailed instructions are at the bottom of page 2
Appendix 2
CAO 1002-01/05 Revised 22/09/01
Vacation
I am requesting approval to schedule vacation day(s) as
follows: For ½ day requests please indicate am or pm
Lieu
I am requesting approval to schedule lieu
time as follows: For ½ day requests please
identify am or pm
Vacation Date(s)
Day(s)
Requested
Day(s)
Remaining
Mgmt
Approval
Lieu Date(s)
Hours
Requested
Mgmt
Approval
Request to carry over to 202X
vacation (if applicable)
Lieu Time Carry
Over to 202X
(if applicable)
Instructions
Vacation
this form is an active document and provides an up -to-date record of the current year’s vacation/lieu
history. Utilize the same document for all vacation/lieu requests, listing su bsequent requests in date
order
new requests or revisions to an existing request must be reflected in bold. Ensure the columns
calculate accordingly each time a new request/revision is submitted
in the event requested time is not taken, submit a revised request form and indicate (delete) beside
the date(s) not taken and adjust the days remaining accordingly
staff may carry-over up to five days of vacation to the next calendar year with appropriate approval
signatures
annual vacation requests must be submitted by April 1st of each year. The Corporation will post the
approved vacation schedule on or before April 30 th in the work area concerned
Lieu Time
staff are permitted to bank lieu time up to maximum of five working days
CUPE employees – time off in lieu earned prior to November 30th must be taken in the calendar year
in which it is earned
Non-union staff – time off in lieu earned prior to November 30th must be taken in the calendar year in
which it is earned or it will be paid out before D ecember 31st. [refer to Compensation and Hours of
Work Procedure – Non-union Employees [HUR 080-001 Section 07.03 d)]
202X Vacation and
Lieu Time Request
Page 2
Alternate Vacation Progression Schedule
Page 1 of 1
Appendix 3
Non-union vacation Entitlements
Years of
Service
CUPE Vacation
Entitlement Fifteen working days Twenty Working Days Twenty-Five Working Days
< 1 year Fifteen working days Fifteen working days Twenty Working Days Twenty-five Working Days
1 < 2 yrs Fifteen working days Sixteen working days Twenty-one working days Twenty-five Working Days
2 yrs < 3 yrs Fifteen working days Sixteen working days Twenty-one working days Twenty-six working days
3 yrs < 4 yrs Fifteen working days Seventeen working days Twenty-two working days Twenty-six working days
4 yrs < 5 yrs Sixteen working days Seventeen working days Twenty-two working days Twenty-seven working days
5 yrs < 6 yrs Seventeen working days Eighteen working days Twenty-three working days Twenty-seven working days
6 yrs < 7 yrs Eighteen working days Eighteen working days Twenty-three working days Twenty-eight Working days
7 yrs < 8 yrs Nineteen working days Nineteen working days Twenty-four working days Twenty-eight Working days
8 yrs < 9 yrs Twenty working days Twenty working days Twenty-four working days Twenty-nine working days
9 yrs < 10 yrs Twenty-one working days Twenty-one working days Twenty-five Working days Twenty-nine working days
10 yrs < 11 yrs Twenty-two working days Twenty-two working days Twenty-five Working days Thirty working days
11 yrs < 12 yrs Twenty-three working days Twenty-three working days Twenty-six working days Thirty working days
12 yrs < 13 yrs Twenty-four working days Twenty-four working days Twenty-six working days Thirty-one working days
13 yrs < 14 yrs Twenty-five working days Twenty-five working days Twenty-seven working days Thirty-one working days
14 yrs < 15 yrs Twenty-six working days Twenty-six working days Twenty-seven working days Thirty-two working days
15 yrs < 16 yrs Twenty-seven working days Twenty-seven working days Twenty-eight Working days Thirty-two working days
16 yrs < 17 yrs Twenty-eight working days Twenty-eight working days Twenty-eight working days Thirty-three working days
17 yrs < 19 yrs Twenty-nine working days Twenty-nine working days Twenty-nine working days Thirty-three working days
19 yrs < 21 yrs Thirty working days Thirty working days Thirty working days Thirty-four working days
21 yrs < 25 yrs Thirty-one working days Thirty-one working days Thirty-one working days Thirty-four working days
25 yrs < 27 yrs Thirty-two working days Thirty-two working days Thirty-two working days Thirty-five working days
27 yrs < 30 yrs Thirty-three working days Thirty-three working days Thirty-three working days Thirty-five working days
30 yrs < 32 yrs Thirty-four working days Thirty-four working days Thirty-four working days Thirty-five working days
32 yrs < 35 yrs Thirty-five working days Thirty-five working days Thirty-five working days Thirty-five working days
35 yrs or more Thirty-five working days Thirty-five working days Thirty-five working days Thirty-five working days