Vacation Payout Request Form

Vacation Payout Request

Mandatory vacation pay out will be Pay Period 24 which is paid Nov 20 2025
Name

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

Area CodePhone Number
Position

Part TimeFull TimeCCWBI
Location Working At
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 24 which is paid Nov 20 2025
I request a payout of Amount of Days Remaining Vacation
I request the following amount of days
Date

MonthDayYear
Date
Signature

Clear
Should be Empty: