Tools, Forms and Links
Managing Long Term Sick Leave
- Road Map: Long Term Sick Leave (printable) (PDF, 301 KB)
Paid Sick Leave
Sick Leave Without Pay
Information Packages to be Given to Employees on Long Term Sick Leave
- Information Package for Employees on Sick Leave – Onset of Leave (DOCX, 735 KB)
- Information Package for Employees on Sick Leave – 12 Months Mark (DOCX, 539 KB)
- Information Package for Employees on Sick Leave – Resolution of Leave (DOCX, 579 KB)
- Information Package for Employees on Sick Leave – Inability to Return to Work (DOCX, 548 KB)
- Information Package for Employees on Sick Leave – Request for Retirement Notice if Eligible for Retirement on Medical Grounds (DOCX, 61 KB)
Individual Forms
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For the duration of the process
- Management File Checklist (DOCX, 59 KB)
During Leave
- Staying Connected Tool (DOCX, 30 KB)
- Sick Leave Substantiation Form - HRB5051
- Leave Application and Absence Report (GC178) (PDF, 27 KB) (opens new window)
Insurance
Preparing the Return to Work
- Fitness to Work and Functional Abilities Assessment Form (DOCX, 55 KB)
- Cover Letter to the Health Professional for the Fitness to Work and Functional Abilities Assessment Form (DOC, 137 KB)
- Return-to-Work Checklist (DOCX, 75 KB)
- Return to Work Plan (RTW) (HRB5050) (PDF, 210 KB) (opens new window)
- Gradual Return To Work – Day 1 Action – Insurer Approved
- Gradual Return To Work – Day 1 Action – Non-Insurer Approved
Useful Links
- iService - Employee Assistance Program (EAP)
- iService - Office of Informal Conflict Management (OICM)
- iService - Duty to Accommodate (DTA)
- Treasury Board Secretariat – Injury-on-Duty Leave
- Treasury Board Secretariat – Directive on Leave and Special Working Arrangements
- Department of Justice – Privacy Act
- Employment Insurance Sickness Benefits
- Canada Pension Plan – Disability Benefits
- Quebec Pension Plan – Disability Benefits
- Public Service Pension and Benefits – Contact Information