Leave Forms

Employees absent or anticipating an absence for more than five work days for their own medical reason or the medical reason of an approved family member must contact Human Resources at 382-5100, ext. 1067 in advance (when possible) for the necessary leave forms.  Failure to contact Human Resources may result in an unapproved absence which may affect the employee's pay and benefits.

Fitness for Duty (Return to Work)

Acknowledgement of Benefits Continuation

Annual Leave

Authorization to Release Information

Request for Extended Leave

Request for Personal, Wellness, and/or Unpaid Leave

Sick Leave Bank Request Form  (To request the use of sick leave bank days)

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