Vacation Payout Request Form

Vacation Payout Request

Mandatory vacation pay out will be Pay Period 1 which is paid Dec 31, 2026
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Position
Location Working At
Team Leader Email
example@example.com
Collective Agreement 18.13 Vacation Payout

Where an Employee requests in writing to have a specific number of vacation days paid out, and the Employer agrees to the request, the Employer will issue pay in lieu of vacation.

Pay in lieu of vacation, if agreed, will be granted only after a minimum of 15 days' vacation time has already been taken in the year. Please reach out to Payroll directly to discuss.

Mandatory vacation pay out will be Pay Period 1 which is paid Dec 31, 2026
I request a payout of Amount of Days Remaining Vacation
I request the following amount of days
I'd like my vacation payout to be paid
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty: