Michaels Leave Of Absence (LOA) Request Form
LOA Contact Information
Leave Of Absence (LOA) Request
Please use this form to request a leave of absence.
Submission failed due to the following:
*
Who is requesting this leave?
Team Member
Store Manager
EE/ Associate ID
*
First Name
*
Last Name
Date of Birth
Address
City
State / Province
--- Select One ---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip / Postal Code
Phone
Phone Ext.
Email
Mobile Phone Number
Leave Type Requested
Please Select One
Michaels Medical Leave
Michaels Personal Leave
Alberta - Compassionate Care
Alberta - Maternity
Alberta - Parental
Alberta - Reservists
British Columbia – Bereavement
British Columbia - Compassionate Care
British Columbia - Family Responsibility
British Columbia - Jury Duty
British Columbia - Parental
British Columbia - Pregnancy
British Columbia - Reservists
Manitoba - Bereavement
Manitoba - Citizenship Ceremony
Manitoba - Compassionate Care
Manitoba - Critical Illness of a Child
Manitoba - Death or Disappearance of a Child
Manitoba - Family
Manitoba - Maternity
Manitoba - Organ Donor
Manitoba - Parental
Manitoba - Reservists
New Brunswick - Bereavement
New Brunswick - Child Care
New Brunswick - Compassionate Care
New Brunswick - Court Leave
New Brunswick - Critical Illness Leave (child)
New Brunswick - Death or Disappearance of a child
New Brunswick - Family Responsibility
New Brunswick - Maternity
New Brunswick - Reservist’s military service
New Brunswick - Sick Leave
Newfoundland - Adoption
Newfoundland - Bereavement
Newfoundland - Compassionate Care
Newfoundland - Crime-related Child Death or Disappearance
Newfoundland - Critically Ill Child Care
Newfoundland - Pregnancy
Newfoundland - Parental
Newfoundland - Reservist leave
Newfoundland - Sick/family responsibility leave
Nova Scotia - Canadian Forces Reservists’
Nova Scotia - Citizenship Ceremony
Nova Scotia - Compassionate Care and Sick
Nova Scotia - Crime-related Child Death or Disappearance
Nova Scotia - Critically Ill Child Care
Nova Scotia - Emergency
Nova Scotia - Pregnancy/Parental
Ontario - Crime-related death or disappearance of a child
Ontario - Critically ill child
Ontario - Emergency leave declared emergencies
Ontario - Parental
Ontario - Personal emergency leave
Ontario - Pregnancy
Ontario - Family caregiver leave
Ontario - Family medical leave
Ontario - Organ donor
Ontario - Reservist
PEI - Bereavement Leave
PEI - Compassionate Care Leave
PEI - Court Leave
PEI - Family Leave
PEI - Parental Maternity and Adoption Leave
PEI - Reservist's Leave
PEI - Sick Leave
Québec - Birth Adoption or Termination of Pregnancy
Québec - Death or Suicide
Québec - Disappearance of a Child
Québec - Maternity
Québec - Parental
Québec - Paternity
Québec - Reservists
Québec - Sickness and Organ or Tissue Donation for Transplant Accident and Family Obligations
Québec - Victim of a Crime and Family Circle
Québec - Voting
Québec - Wedding or Civil Union
Saskatchewan - Adoption Leave
Saskatchewan - Bereavement Leave
Saskatchewan - Citizenship Ceremony Leave
Saskatchewan - Compassionate Care
Saskatchewan - Crime-Related Child Death or Disappearance
Saskatchewan - Critically-Ill Child Care Leave
Saskatchewan - Maternity
Saskatchewan - Nomination/Election and Candidate/Public Office Leave
Saskatchewan - Organ Donation
Saskatchewan - Parental Leave
Saskatchewan - Reserve Force Leave
STD
LTD
Workplace Injury
Expected Leave Start Date
Expected Leave End Date