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LEAVE OF ABSENCE WITHOUT PAY
PURPOSE:
To provide the standards and methods for employees to obtain a leave of
absence when necessitated by personal illness, or personal reasons.
Leave of Absence without pay is defined as an approved and authorized
special leave of absence for a stated period to time without pay. This
represents a privilege and the request shall be reviewed carefully
because of potentially adverse effects on staff coverage and service to
our residents.
PROCEDURE:
A. An LAW may be granted for: Personal illness when sick leave is
exhausted; for maternity; illness requiring the employee's attendance of
a member of the employee's immediate family as defined by Title 4
Department of Personnel. Other situations as provided for and governed
by contractual agreements.
B. LAW's shall not be granted for a period of less than ten (10) working
days.
C. A request for a Leave of Absence must be submitted, in writing, to
the department head/supervisor as early as possible, preferably no later
than one (1) month before the requested beginning date of the leave.
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1. If the request is for medical reasons, a
doctor's certificate, or CS-68 Forms, must be attached to the
request, and must include: |
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a. Name of employee
b. Period to time of the illness or disability
c. Cause of the disability
d. Date the employee can be expected to return to work
without restrictions.
e. Signature of the physician or practitioner. |
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2. Leave for reasons other than medical reasons
must give a full explanation for the need of a leave.
3. An LAW request made by telephone or relative for the employee
must be supported in writing within one (1) work day or as soon
as physically possible. If written notice cannot be given within
one (1) work day an explanation and request for extension must
be made within one (1) work day and approved by the Personnel
Officer. |
D. All request for LAW's shall be submitted to the employee's iimmediate
supervisor. The department head will make his/her recommendation as to
approval or denial of the request. The following guidelines may be used
for consideration in approving an LAW request:
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1. Input on staffing coverage of the particular
unit, and, can the facility permit the loss of the employee for
the period of LAW.
2. Employee's length of continuous service. Provisional and
temporary employees are limited to a period not exceeding sixty
(60) days.
3. Previous LAW's granted within the past two years and the
employees attendance record during this period.
4. P.A.R. Rating
5. Disciplinary actions within the past twelve-month period.
6. Unusual and/or extenuating circumstances which the employee
submits to substantiate granting the leave. |
E. The department head will make his/her recommendation as to approval
or denial of the request based on the criterion stated in #4 above, this
shall be done via the "Request for Leave of Absence" Form. This
recommendation along with the employee's written request and the
completed doctor's certificate, or CS-68 Form, will be forwarded to the
Personnel Office. The submission of a doctor's certificate will not
automatically entitle the employee to an LAW but will be one of several
factors considered.
F. The Personnel Officer shall determine the following:
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1. Whether or not a leave is required for the
time requested.
2. If so, is there justification for a leave.
3. Does the request comply with existing Department of Personnel
and contract guidelines. |
G. The Personnel Officer will notify the employee in writing of the
decision with a copy to the department head/supervisor.
H. Leave of Absence Without Pay, when approved, will initially be
granted for a period which would seem appropriate to cover the
expected absence as indicated on the doctor's certificate or personal
request. However, Department of Personnel regulations limit LAW's for a
maximum of one (1) year.
I. In cases of pregnancy, employees must notify their department head as
soon as they are aware of their pregnancy, and submit a doctor's
certificate indicating the expected date of delivery. Should the
employee wish a maternity leave, a request in writing must accompany the
doctor's certificate. Employees will be notified by the Personnel Office
as to the last day they may work.
J. If an extension on the LAW is required, the request must be received,
in writing, at least two weeks prior to the expiration of the original
Leave of Absence. A doctor's certificate from the employee's personal
physician must accompany all extension request. All request for an
extension will be subject to the same considerations that were applied
to the original LAW request. If a request for an extension is submitted
less than two (2) weeks, an explanation of why must be provided.
K. Upon return from a medical or pregnancy LAW, a doctor's certificate
from the employee's physician must be presented to the NJ Veterans
Memorial Home Facility Medical Director authorizing the employee to be
able to return to full duties.
L. Disagreement on approval/denial of LAW will be resolved by the Chief
Executive Officer, Assistant Chief Executive Officer and Executive
Assistant with consultant from the department head, the Personnel
Officer and the Employee Relations Officer.
PERSONNEL - 43-03-010
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