Leave of Absence
Employees must complete a leave of absence application for unpaid leave of any duration, or for a paid leave of absence exceeding 10 work days using accrued leave balances.
Completed applications can be sent to Human Resources or faxed to our secure fax line: 1-866-404-1841.
- Paid Leave Request Form (Food Services, Support Services, and Transportation only)
- Leave of Absence Form
- How does my LOA effect SEBB Insurance Benefits? (Employee's worksheet)
- Leave Sharing Application (Completed by employee to request donated leave)
- Wage and Hour Division FMLA Rights and Responsibilities
- So you need a leave of absence? Try this helpful planning tool
Leave after the adoption or birth of your child.
Unpaid leave following FMLA (if eligible) and/or adoption/maternity/paternity leave. Refer to your collective bargaining agreement for details and eligibility.
Emergency Leave (must meet one of the following criteria)
- Serious health condition or injury to a spouse, state registered domestic partner, child, parent, or other family member that requires the employee to act as a caregiver.
- A serious, unavoidable situation that is not merely for the employee's convenience.
- An employee or family member who is a victim of domestic violence/sexual assault or stalking.
An employee's medically necessitated leave for more than 10 work days.
Paid Leave Requests
Leave allotments are available for collective bargaining members of Food Services, Support Services, and Transportation. Only members of these collective bargaining groups will need to complete the form below.
Unpaid Leave of Absence
Short Term - An unpaid leave for 10 or less work days.
Unpaid Leave of Absence
More than 10 Work Days - Refer to respective collective bargaining agreement for details and eligibility.
Military or Family Medical Military Leave
Leave necessitated due to a Call to Active Duty for employee or employee's spouse, state registered domestic partner, son, daughter, or parent.
The eligibility and criteria for this leave of absence depends on the collective bargaining agreement. Below is a summary of the eligibility requirements for NSEA, ESP, and NEOPA. Employees outside these groups please reference your collective bargaining agreement or non-represented agreement for detailed, specific language.
Daniela Perez Viafara
HR Business Partner - North Region
HR Business Partner - South Region
HR Business Partner - East Region
HR Business Partner - West Region
Benefits and Workers' Compensation Specialist