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Forms[back to top]Pregnancy and Parental Leave FormIf you have an associate on your team who is taking a pregnancy or parental leave please completethe following form and email to cthibodeau@goodlifefitness.com. A copy of this form must beplaced in the associates personnel file.Pregnancy/Parental Leave Checklist for ManagersCall Chenelle Thibodeau in the People Department at 289-314-5573 to review the1process and discuss the associates vacation entitlement2 Meet with the associate to discuss the following:Present the associate with the Baby Starter Kit from the Employee Assistance Programa) by calling 877-207-8833 or order online at www.lifeworks.com User ID: goodlifePassword: wellnessGive the associate the ‘Pregnancy and Parental Leave Policy’, and the ‘Pregnancy andParental Leave Questions and Answers’ documents found in the Policy and Procedureb)Handbook on SharePoint - internally at the club at http://glfc7/default.aspx or externallyat https://sharepoint.goodlifefitness.com/default.aspxRemind the associate they must give you written notice 2 weeks before the leave begins.c)Place this written notice in the associate’s file.Associates wishing to continue health benefits while on Pregnancy Leave must provided)post dates cheques and contact payroll.e) Discuss the policy concerning vacation and Pregnancy/Parental LeavesExplain to the associate that they don’t receive wages from GoodLife for the duration oftheir leave and that they must apply for Maternity Benefits through Employmentf)Insurance.http://www100.hrdc-drhc.gc.ca/ae-ei/dem-app/english/home2.htmlNotify Payroll of the start and end dates of the leave because the associate needs their3Record of Employment to apply for Maternity benefits through Employment Insurance.Call the associate at home every 2 months during the leave to see how they are doing4and update them on any changes or news in the dept.5 Call the associate 1 month prior to the end of their leave to discuss their return to work.Associate Name:Associate Payroll ID:Manager:Position and Full or Part timeLeave Requested (Pregnancy and/o r Parental Leave):Duration of Leave: From: To:Annual Vacation Entitlement:# of vacation days earned last year to be taken prior to the Pregnancy Leave:For SALARY associates# of paid vacation days earned last year to be set aside to take upon return from leave:Comments:Manager SignatureEmployee SignatureDateDateVacationConfidential and Proprietary Information of Goodlife Fitness Clubs | V14 July 2009 91