Free Sample Bereavement Leave Policy
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Sample Bereavement Leave Policy

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Bereavement Leave


Employer ABC recognizes employees will be away from work upon the death of an immediate family member.  An employee is entitled to  days of administrative leave with pay upon the death of a member of the employee's immediate family to attend the funeral and/or to make funeral arrangements.  In cases where more than three day is required, employees may use personal days, compensatory time, annual leave and/or leave without pay.


Employees must submit a request to use administrative leave for bereavement purposes on the Leave of Absence Form.  The request must indicate the start and end times and dates of the leave and must indicate the family relationship of the deceased.

In certain cases, an employee can notify the supervisor by telephone.

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