I find *some* client won't do anything that's outside the page of the contract but you add whatever you want to have in your contract. They have the option of joining your day home knowing your conditions or going elsewhere.
I have 10 paid vacation days and 5 paid sick days. By calling the vacation days "personal days" it doesn't blur the lines for employment/self-employment. I've had 10 paid vacation days for almost 10 years now. I've never had anyone question it and I've never had any resistance to booking them. I give as much notice as possible although the contract says min of 14 days notice for time off.
I also take all stats and public holidays and these are also paid. They are listed out in the contract and handbook. I've only once had someone resist the Easter Monday.


































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