An employee must complete an Employee Leave Request Form whenever he or she wishes to take the following types of leave:
Fill this form out for:
Section 1: Completed by the employee
Section 2: Completed by manager
Section 3: Completed by Program Director and payroll
Updated April 2020
When a death occurs in an employee's immediate family, an employee may take up to three paid days away from work. In unusual circumstances, additional time off may be granted, without pay, at the discretion of FUTURE SMILES.
For purposes of this policy, "immediate family" is defined as:
Employees summoned for jury duty will be allowed the necessary time off from work to perform this civic responsibility.
Employees must give FUTURE SMILES 15 days advance notice. Leave for jury duty is unpaid.
FUTURE SMILES will not pay such employees the difference between their regular salary and any jury duty fees received. Employees will be expected to report to work during all regular hours if their presence is not required in a jury room or court.
FUTURE SMILES may require the employee to supply documentation from the court affirming the employee's jury dutyservice. If an employee is called during the busy season, the employee should seek a waiver from the Courts.
FUTURE SMILES will provide documentation supporting the reasons for the waiver if necessary.