Employee Information Letter
Unpaid Medical Leave of Absence
Date:______
To: ______Employee Number:______
You have been granted an unpaid Medical Leave of Absence that begins on ______(date) and ends on ______(date). Your leave may be extended in order for you to recover, but your total leave time will not exceed your probationary period or one year. This letter outlines the effect your leave of absence has on your existing benefits and privileges. Please read the letter carefully, sign and make a copy for yourself, and return the original to your manager.
Credit Union
The Credit Union follows the "once a member, always a member" policy, and being on a leave of absence does not affect your membership. You should contact the Credit Union directly at (817) 963-6000 or (800) 533-0035 for information about your account or any existing loans you may have, since payroll deductions are not possible while you are on leave.
Communication
You are responsible for staying in contact with your manager on a regular basis and to report any changes in your work status, as well as any changes in your address and/or telephone number.
Paid Sick Time Accrual
If eligible, paid sick time does not accrue during a Medical Leave of Absence. Existing days in your bank will be used prior to going on leave. Any unused paid sick time remaining will be retained for use upon return to work.
Paid Work While on Leave
Paid work while on leave is not permitted without prior written approval from two levels of management. If you work without prior approval you will be considered as having resigned from the company.
Reduction in Force
A leave of absence does not protect you from layoff. If you would have been laid off while an active employee, you can be laid off from a leave of absence.
Reinstatement Rights
You will be reinstated to your same or similar job in your current location at the end of your leave, once you receive approval by your private physician to return to work. Your rate of pay will be determined by company policies in effect at the time of your return. If applicable, you may also be required to successfully complete a background check, fingerprinting, and/or drug test according to federal and company regulations, prior to returning to work.
Return from Leave
All employees must have a medical clearance from your private physician before returning to work from a Medical Leave of Absence. If we consider necessary, you must receive a medical clearance from our Medical & Occupational Health Services Facility.
It is your responsibility to report for duty on the date established by the company. Failure to comply will be deemed as a voluntary resignation.
Seniority
If you have less than six months of service, you will retain your company seniority; however you will notaccrue company seniority during your leave, your seniority will be adjusted upon your return. If you have at least six months of Company service at the time of your leave, your Company seniority continues to accrue.
Vacation Accrual
If eligible, vacation does not accrue during a Medical Leave of Absence, you will be paid for any unused vacation at the end of the year. Contact your manager for your payment.
Please let me know if you need additional clarification or if you have any questions.
______Manager Name
______Phone Number
This acknowledges my understanding and acceptance of the information outlined in this letter approving my leave of absence.
______Employee Signature
(optional) ______@______Email Address
cc: Personnel File
EGS- Updated 4/18/11