Leave Forms for Employers
Employers

Leave Forms for Employers

Name Purpose
Leave Commencement (legal sized)
Download PDF
Form lets HOOPP know when member is starting a leave of 31 or more days in duration (excluding health leave) or temporary period of reduced earnings. Not required for leaves if the member plans to contribute – contribution info plus the start and end dates of "contributory" leaves will be reported via annual member data collection process. Member must sign declaration section.
Leave Completed (legal sized)
Download PDF
Form lets HOOPP know leave of 31 days or more in duration, where no contributions were made (excluding health leave) or temporary period has ended. Member must sign declaration section.
Sample Notice: HOOPP Contributions Reduced During Sick-Pay Periods
Download Text
An employer can use this sample letter to alert members to contribution rules during a short-term sick leave. Cut and paste this sample letter into a document, using your word processor, print a copy on your organization's letterhead, and have the member sign it.
Waiver of Option to Make Up Shortfall in Required Contributions During Short-Term Sick Leave
Download Text
An employer can use this sample waiver when a member declines the opportunity to top up contributions for a short-term sick leave. Cut and paste this sample waiver into a document, using your word processor, print a copy on your organization's letterhead, and have member sign it.

The Health Leave Form is found on the Disability & Health Leaves page.

Please print bar-coded forms on the correct size of paper. Legal sized forms should be printed on legal (8½" x 14") paper, and letter sized forms on letter (8½" x 11") paper. Also, please send bar-coded forms to HOOPP by mail. Bar codes can't be scanned correctly if they are printed on the wrong size of paper or are faxed.