Common use of Leave Benefits Clause in Contracts

Leave Benefits. Employer and Employee agree on the following policies regarding leave benefits, in addition to compliance with any applicable federal, state, or local law regarding leave benefits: Type of Leave Policy Description Sick Leave (e.g., Employee or their child is sick or has a medical appointment) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: Employee will earn _____ hour(s) of sick leave for every ______ hour(s) of work, up to ______ days per calendar year. Employee will start every year with __________ hours of sick leave that they may use throughout the year. What the leave can be used for: ______________________________ Employee agrees to give Employer reasonable notice of intent to use sick leave, when possible. If unused, ___________ hours of sick leave can be carried over to the next year. Vacation Time (e.g., Employee’s time off for leisure) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: Employee will earn _____ hour(s) of vacation leave for every ______ hour(s) of work, up to ______ days per calendar year. Employee will start every year with __________ hours of vacation leave that they may use throughout the year. Employee must notify Employer of intent to use vacation time within ____ days prior to taking leave. If unused, ___________ hours of vacation leave can be carried over to the next year. Upon termination, _______ hours of unused paid vacation leave will be paid to the Employee at a rate of $________ per hour. Caregiving and Medical Leave (e.g., Employee gives birth, needs to recover from surgery, or their spouse has a serious medical condition) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: Employee will earn _____ hour(s) of caregiving and medical leave for every ______ hour(s) of work, up to ______ days per calendar year. Employee will start every year with __________ hours of caregiving and medical leave that they use throughout the year. What the leave can be used for: ______________________________ Amount of time required to give notice: _______________________ Employer agrees to comply with applicable federal, state, or local law regarding paid or unpaid family and medical leave, including the federal Family and Medical Leave Act. Safe Leave (e.g., Employee needs time off to address intimate partner violence) Employer will provide safe leave to the Employee due to situations that may arise related to gender-based violence, for up to a maximum of __ days per year. This leave will be ☐ Paid or ☐ Unpaid Bereavement Leave (e.g., Employee needs leave to handle matters related to a death and to grieve) Employer will provide bereavement leave to the Employee in the event of a death in the Employee's family, for up to a maximum of _____ days per year. This leave will be ☐ Paid or ☐ Unpaid Other: __________________________________ Compensation (“Paid” or “Unpaid”): Amount of Leave: What the leave can be used for: Amount of time required to give notice: Employer will provide the following holidays, which will be ☐ Paid or ☐ Unpaid: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ For any above holidays that the Employee agrees to work, Employer will provide to the Employee (e.g., premium pay, additional vacation leave, etc.): _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Workplace Health and Safety Expectations around COVID-19 and other infectious diseases protocols, including vaccinations, include: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Employer will obtain, as required by applicable law, workers’ compensation insurance or the equivalent (e.g., through self-insurance or homeowner’s insurance) to cover wage-loss and medical benefits, as appropriate in the event that the Employee is injured or sickened on the job (check one): ☐ Yes (Details of insurance: _____________________) or ☐ No If applicable to the type of work to be performed (described in Part II), Employer and Employee should identify risk factors that commonly contribute to work-related injuries (e.g., use of chemicals, lifting, bending, repetitive motion, slips, trips, and falls), and take steps to properly mitigate these risks. If applicable, assess whether there is potential risk for violence for the worker from anyone in the home or neighborhood, and if applicable, develop a plan to mitigate this risk. Disability Accommodations If applicable, Employer agrees to the following accommodations for the Employee due to a temporary or permanent disability: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Supplies, Tools, and Personal Protective Equipment Employer and Employee agree that supplies, tools, and appropriate personal protective equipment (e.g., goggles, gloves, masks) for tasks that fall within the Employee’s responsibilities described in Part II shall be obtained as follows (check one option below):

Leave Benefits. Employer and Employee agree on the following policies regarding leave benefits, in addition to compliance with any applicable federal, state, or local law regarding leave benefits: Type of Leave Policy Description Sick Leave (e.g., Employee or their child is sick or has a medical appointment) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: Employee will earn _____ hour(s) of sick leave for every ______ hour(s) of work, up to ______ days per calendar year. Employee will start every year with __________ hours of sick leave that they may use throughout the year. What the leave can be used for: ______________________________ Employee agrees to give Employer reasonable notice of intent to use sick leave, when possible. If unused, ___________ hours of sick leave can be carried over to the next year. Vacation Time (e.g., Employee’s time off for leisure) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: Employee will earn _____ hour(s) of vacation leave for every ______ hour(s) of work, up to ______ days per calendar year. Employee will start every year with __________ hours of vacation leave that they may use throughout the year. Employee must notify Employer of intent to use vacation time within _____ days prior to taking leave. If unused, ___________ hours of vacation leave can be carried over to the next year. Upon termination, _______ hours of unused paid vacation leave will be paid to the Employee at a rate of $________ per hour. Caregiving and Medical Leave (e.g., Employee gives birth, needs to recover from surgery, or their spouse has a serious medical condition) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: Employee will earn _____ hour(s) of caregiving and medical leave for every ______ hour(s) of work, up to ______ days per calendar year. Employee will start every year with __________ hours of caregiving and medical leave that they use throughout the year. What the leave can be used for: ______________________________ Amount of time required to give notice: _______________________ Employer agrees to comply with applicable federal, state, or local law regarding paid or unpaid family and medical leave, including the federal Family and Medical Leave Act. Safe Leave (e.g., Employee needs time off to address intimate partner violence) Employer will provide safe leave to the Employee due to situations that may arise related to gender-based violence, for up to a maximum of __ days per year. This leave will be ☐ Paid or ☐ Unpaid Bereavement Leave (e.g., Employee needs leave to handle matters related to a death and to grieve) Employer will provide bereavement leave to the Employee in the event of a death in the Employee's family, for up to a maximum of _____ days per year. This leave will be ☐ Paid or ☐ Unpaid Other: __________________________________ Compensation (“Paid” check one): ☐ Paid or “Unpaid”): ☐ Unpaid Amount of Leave: _________________________________________ What the leave can be used for: ____________________________ Amount of time required to give notice: _______________________ Employer will provide the following paid holidays, which will be ☐ Paid or ☐ Unpaid: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ For any above holidays that the Employee agrees agreed to work, Employer will provide to the Employee (e.g., premium pay, additional vacation leave, etc.): _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Workplace Health and Safety Expectations around COVID-19 and other infectious diseases protocols, including vaccinations, include: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Employer will obtain, as required by applicable law, workers’ compensation insurance or the equivalent (e.g., through self-insurance or homeowner’s insurance) to cover wage-loss and medical benefits, as appropriate in the event that the Employee is injured or sickened on the job (check one): ☐ Yes (Details of insurance: _____________________) or ☐ No If applicable to the type of work to be performed (described in Part II), Employer and Employee should identify risk factors that commonly contribute to work-related injuries (e.g., use of chemicals, lifting, bending, repetitive motion, slips, trips, and falls), and take steps to properly mitigate these risks. If applicable, assess whether there is potential risk for violence for the worker from anyone in the home or neighborhood, and if applicable, develop a plan to mitigate this risk. Disability Accommodations If applicable, Employer agrees to the following accommodations for the Employee due to a temporary or permanent disability: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Supplies, Tools, and Personal Protective Equipment Employer and Employee agree that supplies, tools, and appropriate personal protective equipment (e.g., goggles, gloves, masks) for tasks that fall within the Employee’s responsibilities described in Part II shall be obtained as follows (check one option below):

Leave Benefits. 1. Employer and Employee agree on the following policies regarding leave benefits, in addition to compliance with any applicable federal, state, or local law regarding leave benefits: Type of Leave Policy Description Sick Leave (e.g., Employee or their child is sick or has a medical appointment) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of sick leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of sick leave that they may use throughout the year. What the leave can be used for: ______________________________ Employee agrees to give Employer reasonable notice of intent to use sick leave, when possible. If unused, ___________ hours of sick leave can be carried over to the next year. Vacation Time (e.g., Employee’s time off for leisure) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of vacation leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of vacation leave that they may use throughout the year. Employee must notify Employer of intent to use vacation time within ____ days prior to taking leave. If unused, ___________ hours of vacation leave can be carried over to the next year. Upon termination, _______ hours of unused paid vacation leave will be paid to the Employee at a rate of $________ $ per hour. Caregiving and Medical Leave (e.g., Employee gives birth, needs to recover from surgery, or their spouse has a serious medical condition) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of caregiving and medical leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of caregiving and medical leave that they use throughout the year. What the leave can be used for: ______________________________ Amount of time required to give notice: _______________________ Employer agrees to comply with applicable federal, state, or local law regarding paid or unpaid family and medical leave, including the federal Family and Medical Leave Act. Safe Leave (e.g., Employee needs time off to address intimate partner violence) Employer will provide safe leave to the Employee due to situations that may arise related to gender-based violence, for up to a maximum of __ days per year. This leave will be ☐ Paid or ☐ Unpaid Bereavement Leave (e.g., Employee needs leave to handle matters related to a death and to grieve) Employer will provide bereavement leave to the Employee in the event of a death in the Employee's family, family for up to a maximum of _____ days per year. This leave will be ☐ Paid or ☐ Unpaid Other: __________________________________ Compensation (“Paid” check one): ☐ Paid or “Unpaid”): ☐ Unpaid Amount of Leave: What the leave can be used for: Amount of time required to give notice: Employer will provide the following holidays, which will be ☐ Paid or ☐ Unpaid: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ For any above holidays that the Employee agrees to work, Employer will provide to the Employee (e.g., premium pay, additional vacation leave, etc.): _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Workplace Health and Safety Expectations around COVID-19 and other infectious diseases protocols, including vaccinations, include: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Employer will obtain, as required by applicable law, workers’ compensation insurance or the equivalent (e.g., through self-insurance or homeowner’s insurance) to cover wage-loss and medical benefits, as appropriate in the event that the Employee is injured or sickened on the job (check one): ☐ Yes (Details of insurance: _____________________) or ☐ No If applicable to the type of work to be performed (described in Part II), Employer and Employee should identify risk factors that commonly contribute to work-related injuries (e.g., use of chemicals, lifting, bending, repetitive motion, slips, trips, and falls), and take steps to properly mitigate these risks. If applicable, assess whether there is potential risk for violence for the worker from anyone in the home or neighborhood, and if applicable, develop a plan to mitigate this risk. Disability Accommodations If applicable, Employer agrees to the following accommodations for the Employee due to a temporary or permanent disability: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Supplies, Tools, and Personal Protective Equipment Employer and Employee agree that supplies, tools, and appropriate personal protective equipment (e.g., goggles, gloves, masks) for tasks that fall within the Employee’s responsibilities described in Part II shall be obtained as follows (check one option below)::

Leave Benefits. 1. Employer and Employee agree on the following policies regarding leave benefits, in addition to compliance with any applicable federal, state, or local law regarding leave benefits: Type of Leave Policy Description Sick Leave (e.g., Employee or their child is sick or has a medical appointment) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of sick leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of sick leave that they may use throughout the year. What the leave can be used for: ______________________________ Employee agrees to give Employer reasonable notice of intent to use sick leave, when possible. If unused, ___________ hours of sick leave can be carried over to the next year. Vacation Time (e.g., Employee’s time off for leisure) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of vacation leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of vacation leave that they may use throughout the year. Employee must notify Employer of intent to use vacation time within ____ days prior to taking leave. If unused, ___________ hours of vacation leave can be carried over to the next year. Upon termination, _______ hours of unused paid vacation leave will be paid to the Employee at a rate of $________ $ per hour. Caregiving and Medical Leave (e.g., Employee gives birth, needs to recover from surgery, or their spouse has a serious medical condition) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of caregiving and medical leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of caregiving and medical leave that they use throughout the year. What the leave can be used for: ______________________________ Amount of time required to give notice: _______________________ Employer agrees to comply with applicable federal, state, or local law regarding paid or unpaid family and medical leave, including the federal Family and Medical Leave Act. Safe Leave (e.g., Employee needs time off to address intimate partner violence) Employer will provide safe leave to the Employee due to situations that may arise related to gender-based violence, for up to a maximum of __ days per year. This leave will be ☐ Paid or ☐ Unpaid Bereavement Leave (e.g., Employee needs leave to handle matters related to a death and to grieve) Employer will provide bereavement leave to the Employee in the event of a death in the Employee's family, for up to a maximum of _____ days per year. This leave will be ☐ Paid or ☐ Unpaid Other: __________________________________ Compensation (“Paid” or “Unpaid”): Amount of Leave: What the leave can be used for: Amount of time required to give notice: Employer will provide the following holidays, which will be ☐ Paid or ☐ Unpaid: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ For any above holidays that the Employee agrees to work, Employer will provide to the Employee (e.g., premium pay, additional vacation leave, etc.): _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Workplace Health and Safety Expectations around COVID-19 and other infectious diseases protocols, including vaccinations, include: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Employer will obtain, as required by applicable law, workers’ compensation insurance or the equivalent (e.g., through self-insurance or homeowner’s insurance) to cover wage-loss and medical benefits, as appropriate in the event that the Employee is injured or sickened on the job (check one): ☐ Yes (Details of insurance: _____________________) or ☐ No If applicable to the type of work to be performed (described in Part II), Employer and Employee should identify risk factors that commonly contribute to work-related injuries (e.g., use of chemicals, lifting, bending, repetitive motion, slips, trips, and falls), and take steps to properly mitigate these risks. If applicable, assess whether there is potential risk for violence for the worker from anyone in the home or neighborhood, and if applicable, develop a plan to mitigate this risk. Disability Accommodations If applicable, Employer agrees to the following accommodations for the Employee due to a temporary or permanent disability: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Supplies, Tools, and Personal Protective Equipment Employer and Employee agree that supplies, tools, and appropriate personal protective equipment (e.g., goggles, gloves, masks) for tasks that fall within the Employee’s responsibilities described in Part II shall be obtained as follows (check one option below)::

Leave Benefits. 1. Employer and Employee agree on the following policies regarding leave benefits, in addition to compliance with any applicable federal, state, or local law regarding leave benefits: Type of Leave Policy Description Sick Leave (e.g., Employee or their child is sick or has a medical appointment) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of sick leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of sick leave that they may use throughout the year. What the leave can be used for: ______________________________ Employee agrees to give Employer reasonable notice of intent to use sick leave, when possible. If unused, ___________ hours of sick leave can be carried over to the next year. Vacation Time (e.g., Employee’s time off for leisure) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of vacation leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of vacation leave that they may use throughout the year. Employee must notify Employer of intent to use vacation time within ____ days prior to taking leave. If unused, ___________ hours of vacation leave can be carried over to the next year. Upon termination, _______ hours of unused paid vacation leave will be paid to the Employee at a rate of $________ $ per hour. Caregiving and Medical Leave (e.g., Employee gives birth, needs to recover from surgery, or their spouse has a serious medical condition) Compensation (check one): ☐ Paid or ☐ Unpaid How Leave is Earned: ❑ Employee will earn _____ hour(s) of caregiving and medical leave for every ______ hour(s) of work, up to ______ days per calendar year. ❑ Employee will start every year with __________ hours of caregiving and medical leave that they use throughout the year. What the leave can be used for: ______________________________ Amount of time required to give notice: _______________________ Employer agrees to comply with applicable federal, state, or local law regarding paid or unpaid family and medical leave, including the federal Family and Medical Leave Act. Safe Leave (e.g., Employee needs time off to address intimate partner violence) Employer will provide safe leave to the Employee due to situations that may arise related to gender-based violence, for up to a maximum of __ days per year. This leave will be ☐ Paid or ☐ Unpaid Bereavement Leave (e.g., Employee needs leave to handle matters related to a death and to grieve) Employer will provide bereavement leave to the Employee in the event of a death in the Employee's family, for up to a maximum of _____ days per year. This leave will be ☐ Paid or ☐ Unpaid Other: __________________________________ Compensation (“Paid” check one): ☐ Paid or “Unpaid”): ☐ Unpaid Amount of Leave: What the leave can be used for: Amount of time required to give notice: Employer will provide the following holidays, which will be ☐ Paid or ☐ Unpaid: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ For any above holidays that the Employee agrees to work, Employer will provide to the Employee (e.g., premium pay, additional vacation leave, etc.): _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Workplace Health and Safety Expectations around COVID-19 and other infectious diseases protocols, including vaccinations, include: _______________________________________________________________________________________________________________________________________________________________________________________________________________________ Employer will obtain, as required by applicable law, workers’ compensation insurance or the equivalent (e.g., through self-insurance or homeowner’s insurance) to cover wage-loss and medical benefits, as appropriate in the event that the Employee is injured or sickened on the job (check one): ☐ Yes (Details of insurance: _____________________) or ☐ No If applicable to the type of work to be performed (described in Part II), Employer and Employee should identify risk factors that commonly contribute to work-related injuries (e.g., use of chemicals, lifting, bending, repetitive motion, slips, trips, and falls), and take steps to properly mitigate these risks. If applicable, assess whether there is potential risk for violence for the worker from anyone in the home or neighborhood, and if applicable, develop a plan to mitigate this risk. Disability Accommodations If applicable, Employer agrees to the following accommodations for the Employee due to a temporary or permanent disability: ________________________________________________________________________________________________________________________________________________________________________________________________________________________ Supplies, Tools, and Personal Protective Equipment Employer and Employee agree that supplies, tools, and appropriate personal protective equipment (e.g., goggles, gloves, masks) for tasks that fall within the Employee’s responsibilities described in Part II shall be obtained as follows (check one option below)::