HORIZON SCHOOL DIVISION NO. 67

SUPPORT STAFF REQUEST

FAMILY MEDICAL DAY

Name:

School:

Date of family medical leave requested:

Please enter the reason for this request:

Please enter your email address:

C.U.P.E. Agreement , September 2006

Article 13.2.2

An employee may request in writing up to one (1) day leave with pay consistent with the normal hours of work on that day, in each school year to attend to the medical concerns of members of the employees family. Such request shall be made to the Superintendent in writing one week prior to the leave unless such leave is due to a medical emergency.

The Employeer may require a medical certificate stating the reason for the absence. The Employer may request such medical certificate within 30 days of the leave.

Requests for family medical leave shall not be unreasonably withheld; however, granting of the leave will be subject to the availability of replacement staff and the operational requirements of the site involved.

Family shall be defined as spouse, child, step-child, parent or any other person residing in the employee's household.