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These expenditures comply with the sponsor spending/donor terms guidelines/restrictions and, (where applicable) the expenditures conform to the budget submitted to the sponsor. These expenditures are in support of the research project/trust account named in the award/donation and there is supporting documentation to satisfy the relevance to research requirement. 8 Leave Reporting FormlThis form allows for 23 days. If you require additional days, please attach an additional form. Thank you.6The personal information on this form is collected for the purpose of managing personnel under the Employment Standards Code, Section 14(4) and in accordance with the ϲ Freedom of Information and Protection of Privacy Act, Section 33c. Certain personal information will be made available to federal and provincial departments and agencies under appropriate legislative authority. For further information regarding the collection of the personal information, contact the Human Resource Services, 2-40 Assiniboia Hall, ϲ. Phone: 492-4555.<Original: Human Resource Services Copy: Department +0KContact Human Resource Services for help on completing this form: 492-4555DEPARTMENT NAMEPERSONAL INFORMATIONVACATION SPECIAL LEAVECOMMENTS SIGNATURES:Hours Worked Per WeekCASUAL/GENERAL ILLNESSfFor sick absences due to illness for greater than 3 days duration, Doctor's note on department's file Revision 1.5Human Resource ServicesLeave Reporting InstructionsNFor each type of Leave, enter the month and day. The form allows for 23 days.`Code 800 - Vacation - do not report hours for statutory holidays or regular scheduled rest days. `Code 816 - Anniversary Day Off - maximum 1 time day off after completion of 25 years of service. lConsult the Collective Agreement: Operating - Article 24 Annual Vacation Leave / Trust - Article 13 Vacation"+ QV Consult the Collective Agreement: Operating - Article 27 Special Leave, Article 28 Witness or Jury Duty / Trust - Article 15 Compassionate Leave"+ kp ]Code 822 - Bereavement - maximum 1 day to attend the funeral of a friend, aunt, uncle, cousin yCode 825 - Citizenship Hearing - maximum 1 day to attend formal Canadian Citizenship Hearing to become a Canadian citizen lCode 827 - Change of Domicile - maximum 1 moving day per fiscal year (Change of Address must be submitted) Code 830 - Compassionate Leave - maximum 3 days to attend the funeral of immediate family members, additional two days may be granted for travel Code 832 - Family Illness - maximum 2 days per episode will be allowed for sudden or serious illness within the immediate family Code 835 - Emergency or Disaster Conditions - maximum 1 day will be allowed for emergencies demanding the employee's immediate attention Code 837 - Witness or Jury Duty - Unlimited leave with pay when required by law to serve jury duty (must supply document requesting appearance) Code 830 - Compassionate Leave - maximum 5 days may be granted for compassionate reasons (additional 5 days at the discretion of the Trustholder) jCode 855 - Casual Illness - Consecutive absence of 3 days or less for which a medical note is not required Code 860 - Motor Vehicle Accident - Consecutive absence of 3 days or less due to a motor vehicle accident for which a medical note is not required Code 861 - Motor Vehicle Accident - Consecutive absence of greater than 3 days duration due to a motor vehicle accident for which a medical note must be provided {Code 865 - General Illness - Consecutive absence of greater than 3 days duration, for which a medical note must be provided Consult the Collective Agreement: Operating - Article 25 Illness and Proof of Illness / Trust - Article 14 Illness and Proof of Illness"+ X] If you require additional information regarding the coding of absences, please contact the Staff Assistance Centre at 492-4555.The leave reporting form is used for reporting Support Staff absences in accordance with the Collective Agreement. The following is being provided to assist you in assuring the absence is coded properly:'Vacation (accrual based on fiscal year)1Special Leave - Operating (renews on fiscal year)-Special Leave - Trust (renews on fiscal year):Casual/General Illness (renews on employee's service date)iCode 820 - Birth or Adoption - maximum 1 day to attend birth or adoption proceedings of employee's child. B3 4{6#N:I;>L CF%cc  4LM#aWk  dMbP?_*+%&?'?(?)?M\\pb41\RICOH242-PSS o=X`LetterPRIV0''''\KhCʗX SPIRcm180366C:\DOCUME~1\cm18\LOCALS~1\Temp\RIPS5.BIN"=X`??cU} m} "} "} "} "} $ !} $ "} $ " Code400+@0@ 0j 0@ 0Y@ 0*0*0*0@  0X@ 0X  0X  0X@ 0X@ 0X@ 0X@0X@0X@0X@0X@0X@0X@0X@ 0X@ 0X@0X@0X@0X@0X@0X@ 0Y'00% 8!& !!!!!!!!!!!!!!!!/ 6}& !!!!!!!!!!!!!!!!/ 6 n&uuuuuv wxr& !!!!!!!!!!!!!!!!/ n6uuuuuuuvvvvvvvvvqooppppr& !!!!!!!!!!!!!!!!/ /0 4 & ################/8HH2:::::::HH:::::& ################/ / 3333., .+,,,  3 -+ 111& ################/8/..!}9& !!!!!!!!!!!!!!!!/ y 6 zzzzzzzzzzzzzzzzzzzzzz~& !!!!!!!!!!!!!!!!/ { : ||||||||||||||||||||||& / _: ```````````````````````a & /~ @4 #  % & !!!!!!!!!!!!!!!!/~ c@4 deeeeffffffffffffffffeg#  % & !!!!!!!!!!!!!!!!/ h6```````````````````````a& !!!!!!!!!!!!!!!!/~ Z@4QRRRRSSSSSSSSSSSSSSSSSV#  %$& !!!!!!!!!!!!!!!!/~ [@4KLLLLMMMMMMMMMMMMMMMMMW -$& !!!!!!!!!!!!!!!!/~ \ȉ@4KLLLLMMMMMMMMMMMMMMMMMW& !!!!!!!!!!!!!!!!/~ ]؉@4KLLLLMMMMMMMMMMMMMMMMMW& !!!!!!!!!!!!!!!!/~ \@4KLLLLMMMMMMMMMMMMMMMMMW& !!!!!!!!!!!!!!!!/~ \@4KLLLLMMMMMMMMMMMMMMMMMW& !!!!!!!!!!!!!!!!/~ \@4KLLLLMMMMMMMMMMMMMMMMMW& !!!!!!!!!!!!!!!!/~ Y(@4NOOOOPPPPPPPPPPPPPPPPPi& !!!!!!!!!!!!!!!!/ h````` *```a& !!!!!!!!!!!!!!!!/~ X@4KLLLLMMMMMMMMMMMMMMMMLT - & !!!!!!!!!!!!!!!!/~ X@4KLLLLMMMMMMMMMMMMMMMMLT& !!!!!!!!!!!!!!!!/~ X@4KLLLLMMMMMMMMMMMMMMMMLT# % & !!!!!!!!!!!!!!!!/~ ^@4KLLLLMMMMMMMMMMMMMMMMLT& !!!!!!!!!!!!!!!!/~ b@4NOOOOPPPPPPPPPPPPPPPPOU& !!!!!!!!!!!!!!!!/6& !!!!!!!!!!!!!!!!/ s:ttttttttttttttttttttttt&&& &&&&&&&&&&&&&&&&/<$$& $$$$$$$$$$$$$$$$/D0lfrHrffrvvrv 0Y% !0'"0'#0'$0V' %0V' &0%'0;%(0)0*0+0,0-0.0/000102030 k: lllllllllllllllllllllllm$$& $$$$$$$$$$$$$$$$/ !B! !; !4<C !C !C&&&! &&&&&&&&&&&&&&&&/"A==>? "30"33877555555JJJ5556&&&" &&&&&&&&&&&&&&&&/<#DE@33333I......33FGGG&&&# &&&&&&&&&&&&&&&&/ $:$&&&$ &&&&&&&&&&&&&&&&/ %:%&&&% &&&&&&&&&&&&&&&&/ &( &*& & &$$&& $$$$$$$$$$$$$$$$/ '0'~ '@'$$&' $$$$$$$$$$$$$$$$/8()))))))))))))))))))))))&( !!!!!!!!!!!!!!!!/8)))))))))))))))))))))))))&) !!!!!!!!!!!!!!!!/8*))))))))))))))))))))))))&* !!!!!!!!!!!!!!!!/8+))))))))))))))))))))))))&+ !!!!!!!!!!!!!!!!/8,))))))))))))))))))))))))&, !!!!!!!!!!!!!!!!/8-))))))))))))))))))))))))&- !!!!!!!!!!!!!!!!/8.))))))))))))))))))))))))&. !!!!!!!!!!!!!!!!/8/))))))))))))))))))))))))&/ !!!!!!!!!!!!!!!!/80))))))))))))))))))))))))&0 !!!!!!!!!!!!!!!!/81))))))))))))))))))))))))&1 !!!!!!!!!!!!!!!!/&2 !!!!!!!!!!!!!!!!/&3 !!!!!!!!!!!!!!!!/, |vjvvffffffffff*]( b^ ~  <9 X+? 3]4@9~ з (<)Code 855 Casual Illness - maximum 3 days<^(~~  <d9 X+? `]4@d9~ з 1<2Code 860 Motor Vehicle Accident - maximum 3 days< h1 ~~  <9 X+? 4!]4@9~ >I]" H<ICode 861 General Illness - Motor vehicle accident - greater than 3 days<Hul~~  <,9 X+? ]4@,9~ з .</Code 865 General Illness - greater than 3 days<s.~~  <9 X+? m]4@9~ з <Code 880 Sick Leave (WCB)<$66~~  <9 X+? ^ `]4@9~ @_Ma3JVs *<+Code 820 Special Leave - Birth or Adoption<d*lp~~  <X9 X+? M]4@X9~ cɈз $<%Code 822 Special Leave - Bereavement<S$y:~~  <9 X+? Mf]4@9~ cɈз ,<-Code 825 Special Leave - Citizenship Hearing<l,~~  < 9 X+? 9NF]4@ 9~ cɈз +<,Code 827 Special Leave - Change of Domicile<m+~~  <9 X+?  `]4@98\~ cɈз S<TCode 830 Special Leave - Compassionate Leave - 3 days, additional 2 days for travel<?S~~  <9 X+?  `]4@98]~ cɈз 6<7Code 832 Special Leave - Family Illness - up to 2 days<6(~~  <L9 X+?  zM]4@L98^~ cɈз 9<:Code 835 Special Leave - Emergency or Disaster Conditions<9 ~~  <9 X+? mz]4@98_~ cɈз <Code 837 Witness or Jury Duty<~~ = <9 X+? 9 ]4=@98`~ q&sLз n<oMonth Indicate the month the leave occurred (i.e. Jan, Feb, Mar). Different months can be stated on one form.<,,n ~~ > <x9 X+? 9UN ]4>@x98a~ r&sLз $<%Date Indicate the date of the leave.<#$!~~ ? <9 X+? N C]4?@98b~ &sLз S<TDEPARTMENT NAME Important for ensuring absences are reported to correct job record.<{kS~~ @ <@9 X+? x ]4@@@98c~ &sLз <PERSONAL INFORMATION Please ensure that all PERSONAL INFORMATION is completed. The information is required to correctly identify the person for which you are reporting absences.<h@@A~~ A <9 X+? N81]4A@98d~ &sLз _<`DEPT ID is a unique identifier of an institutional responsibility or accountability cost centre</_@~~ E <9 X+? N1  ]4E@98e~ &sLз <Employee Status This information is very important. Make sure to indicate if the employee works full time or part time and the number of hours worked during a regular work week.<_s rr O 0d9  @OF]O`d98f~ <Other< ~~ P <9 X+? 9  `]4P@9f~ ;WtDwK2p <Code 800 Vacation Time Taken< @~~ Q <,9 X+? 9 ]4Q@,9Xh~ з g<hOther Please use this area to stipulate additional leaves not coded above - specify details in comments<)gul~~ R <9 X+? 9  z]4R@9Xi~ Cq]Տз <Code 816 Anniversary Day Off< @ T c RA. Letterhead%20logo%20bw#" `#d]&T`Xj~~~ W <09 X+? N!@ m]4W@09|k~ @+@*.t` J<KHours worked per week Indicate the normal number of hours worked per week.<*J X H9))+ ?C9]6 X9|l~  "  Y H9))+ ? & d]6 Y9l~  "  Z HD9))+ ?!:]6 ZD9n~  " ~~ \ <9 X+? N z]4\@9o~ cɈз <Special Leave Refer to Abscences outlined in the Board/NASA Collective Agreement, Article 27 & 28 in Part A and Article 15 in Part B.<X}lp?mtkachukAmtkachuk@mtkachukEmtkachukWmtkachuk =mtkachuk >mtkachuk PHRSa RHRSa\HRSaHRSaHRSaHRSaHRSaHRSaHRSaHRSaHRSaHRSaHRSaHRSaHRSaHRSaQHRSa><D$$&&%%!!!!!!'''' 7!/ Person ID No. Person ID No.PERSON ID No. (Employee ID No.) All information in the Payroll/HR system is processed by Person ID numbers. THIS CANNOT BE LEFT BLANK.lPERSON ID No. (Employee ID No.) All information in the Payroll/HR system is processed by Person ID numbers.ggDggh?h H  %ܜ  dMbP?_*+%&Q?'zG?(ףp= ?)?M\\pb41\RICOH242-PSS odXXLetterPRIV0''''\KhCʗX SPIRcm180366C:\DOCUME~1\cm18\LOCALS~1\Temp\RIPS5.BIN"dXX??U} %;;        3   4 ! 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