Tools, Forms and Links

Managing Long Term Sick Leave

• Road Map: Long Term Sick Leave (printable) (PDF, 301 KB)

Paid Sick Leave

• Guide for Managers: Proactive Management of Paid Sick Leave

Sick Leave Without Pay

• Backfilling positions in Sick Leave Without Pay Situations

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

• 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

    • Application process for Disability Insurance (SunLife)
    • Disability Insurance (Sunlife) - Application Forms only
    • Application process for Long Term Disability Insurance (Industrial Alliance)
    • Long Term Disability (Industrial Alliance Insurance Plan for Management) - Application form only

  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