1.  Retirement/Death - 40 hour week
INSTRUCTIONS FOR COMPLETION:
   1.  Complete Shaded Grey areas only
   2.  Complete Tombstone Data
   3.  Complete for *Retirement or Death
   4.  Complete Leave Without Pay - for Leave > 3 months for Relocation of Spouse,
               Personal Leave and Care & Nurturing
   5.  Complete separate row for each period where AWW differs
   6.  To Save - Click on File - Hit "SAVE AS" - type in employees last name and hit Save
   7.  1 copy for file - 1 copy to employee
*Retirement occurs if: has 2 or more years of pensionable employment and retires at 60 or age 50 or over if deferring, or
Text Box: SEVERANCE PAY CALCULATION
 retires on medical grounds at any age.  For APOC, UPCE, MGT only - any age with more than 30 years pensionable employment
Text Box: C U P W / A P O C / C P A A
NAME     CPC ID#  
P/L #  
Severance Payable from:   to   
(mm/dd/yy) (mm/dd/yy)
RETIREMENT or DEATH or    
 TERMINATION for Incapacity (excluding Discipline)
   
1ST DATE LAST DATE ASSIGNED # OF Full Time  # OF DAYS  # OF YEARS
(mm/dd/yyyy) (mm/dd/yyyy) WW DAYS Daily Equiv. Full Time Equiv. Full Time Equiv.
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
              LEAVE WITHOUT PAY     > 3 MONTHS (for Relocation of Spouse, 
                                Personal Leave and Care & Nurturing)  
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
      0 0.00 0.00 0.00
TOTAL FULL TIME EQUIVALENT YEARS   0.00  
           MAX ALLOWED (completed yrs.)  
 
0 0.00
YEARLY SALARY =      SEVERANCE DUE ON RETIREMENT $0.00