Time Off and Remote Work Request Form
Before completing this form, please review the 'Vacation and Right to Disconnect Policy' available at https://www.bestbehaviour.ca/policies.

This form is designed to be completed by any employee who is requesting time off or remote work, in the amount of 1 day or more.
  • Time off: Time in which the employee is not on work time, or has disconnected from work.
  • Remote work: Time in which the employee is working from a location that is far enough away from their home that they would not be available for in-person work during this time. This may include working from home if one's ability to work in-person as needed is restricted. This does not include when an employee is working from their home, the centre, or from any other location that still allows them to complete any required in-person work as needed.
Before completing this form, please ensure the following:
1) Your direct supervisors have been notified and any required coverage has been discussed.
2) At least 2 weeks' notice is given, to allow for the request to be reviewed, denied or accepted, any necessary coverage to be arranged if applicable.

The status of your approval will be sent via email, and can be viewed in the 'Time Off and Remote Work Request Form' Google Sheet in the 'Senior Team Files'.

Once a request has been approved, please ensure all parties affected are notified and any necessary coverage is arranged.

Please note that cancelled sessions still need to be logged in Clockify, and your time off needs to be entered into your Google Calendar. This form does not replace those records, but instead is meant to keep track of time off requests and ensure that sufficient notice is being given.

The completed form will automatically be made available to Sophia Catania, and the rest of the senior clinical team and centre team.

Please contact Sophia Catania at (226) 755-0015 or info@bestbehaviour.ca with any questions or concerns.

Updated: April 2024
Sign in to Google to save your progress. Learn more
Email *
Name *
Date *
MM
/
DD
/
YYYY
Type of Request *
Expected Date(s) *
Reason for Request *
Will you require coverage for the expected date(s)? *
If coverage will be needed, has this already been arranged with your direct supervisors? Are there any outstanding sessions or responsibilities that still require coverage to be arranged?
Please include any other relevant information here.
Your Supervisor's Email Address
Please list the email address(es) of your direct supervisor(s). This will automatically send them a copy of this request.
Status of Approval (to be completed by Sophia)
The status of your approval will be sent via email, and can be viewed in the 'Time Off and Remote Work Request Form' Google Sheet in the 'Senior Team Files'.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Best Behaviour Inc.. Report Abuse
Google Forms