Fillable University of Guelph Leave of Absence Request Form

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University of Guelph Leave of Absence Request Form

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The University of Guelph Leave of Absence Request Form form is 1 page long and contains:

  • 2 signatures
  • 2 check-boxes
  • 11 other fields

Country of origin: CANADA
File type: PDF

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LEAVE OF ABSENCE REQUEST FORM
Complete this form for a leave of absence greater than ten (10) days.
For an explanation of Leaves of Absences, please refer to the relevant Agreement and/or Policy covering your position.
Benefits may change depending on the type of leave; contact your HR Service Associate for details.
Employee Information
Employee Name: Employee Number:
Employee Department: Department Number:
Leave Information
Type of Leave:
Start Date of Leave:
End Date of Leave (if known):
*Will you be collecting Unemployment benefits based on the standard or extended parental benefits?
Please check the relevant benefit:
Extended benefit (61 weeks)
Standard benefit (35 weeks)
Signatures
Employee’s Signature:
Date:
Signature of Approving Supervisor, Director, or Chair:
Date:
Upon completion of this form, please forward to your Human Resources Service Associate with an
appropriately completed employee data form.
HR USE ONLY
Received Date: Approval Date:
Notes:
Revised: January 2018
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University of Guelph Leave of Absence Request Form

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Completed 1 March 2020

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