 Leave of Absence

This form is completed by employees and the professional provider to request leave for adoption or foster care.

This form is used by employees serving as volunteer firefighters, paramedics, EMT and First Responders to request emergency service leave.

Forms to be completed when requesting Family Medical Leave.

Employees may elect to use accrued paid sick leave or to be placed on an unpaid medical leave of absence in the event of an occupational illness or injury.

This form is used to request parental leave. Employees must provide the requested start and end dates for both the six weeks of unpaid leave and the six weeks of paid leave.

Employees must complete this form to request a leave of absence. This form is used by faculty, administrators, and classified staff.

This form is used when requesting a leave of absence for the purpose of organ donation.

This form is completed by a Physician or Health Care Provider and serves as an employee's medical authorization to return to work.