POLICY #: [Insert Number] Â Â
EFFECITIVE DATE: Â [Insert Date]
PERTAINS TO: Â All Employees/Full-time employees [choose one]
[Company Name] understands that occasionally, situations may arise in which an employee needs to take time of for personal matters. Â Accordingly, we allow our employees to take a personal leave of absence, provided that certain conditions are satisfied.
Â
All [full-time] employees are who have been employed at [Company Name] for a period of [insert time span] are eligible for personal leave.
Â
Personal leave may be taken for any of the following reasons:
q       Extension in extended vacation or sabbatical leave
q       For a funeral of a family member or close friend
q       Treatment of any health conditions/recovery from treatment
q       To care for a family member with a serious health condition
q       For education
q       For emergencies that may arise
[Company Name] reserves the right to ask for documentation/certification is any of the above-mentioned situations, (i.e. medical/death certificate).
Â
Personal leave is offered for a period of [insert time span], and may not be exceeded. Â The employee may choose to take the leave all at once, or in shorter periods (to continue work part-time).
Â
All employees wishing to take personal leave must notify their immediate supervisors, in writing, at least 15 days before the proposed leave. Â We understand that in some emergency cases, this may not be possible. Â In these cases, the employee should notice his/her supervisor as soon as possible.
Â
Personal leave is [paid] or [unpaid]. Â Employees have the option of using any accrued paid leave they may have toward their unpaid personal leave.
Â
Any employee on personal leave will still be entitled to their health benefits. All other benefits will end. Â Upon return to work, he/she will be reinstated to his/her former position, and all other benefits as if the leave was never taken.
[Company Name] will offer the appropriate accommodations, in the event that an individual is not able to perform previous job duties.
Â
Â
Â
Â
Â