Print the leave request form below or use the fillable form:
Complete and attach a doctor’s note if required or if submitting the on-line form send your doctor note directly to Human Resources..
Give the form to your principal/supervisor to sign. Once approved the form will be forwarded to Human Resources for district approval.
You will receive an email back once your leave request has been approved/denied.
Effective August 1, 2014, the state law has been expanded to include care of relatives. This means that you may use up to 160 hours of your available sick leave in a 12-month period for the illness or injury of your adult child, spouse, sibling, grandchild, parent, grandparent, step-parent, mother-in-law or father-in-law for reasonable periods of time as the employee's attendance may be necessary, on the same terms upon which the employee is able to use sick leave benefits for the employee's own illness.
New in 2016: An employee may use sick leave as allowed under this section for safety leave. Safety leave may be used for assistance to the employee or assistance to the relatives described above for the purpose of providing or receiving assistance because of sexual assault, domestic abuse or stalking.
This time would be recorded as "sick relative" in Skyward. A leave form will be required based on the same guidelines as for personal/dependent child illness. Check out this FAQ for more information.
Employees who are summoned for jury service will be paid their regular basic wages contingent upon remitting to the school district the compensation received for jury duty services. On days when jurors are dismissed from duty at an early hour, you will be expected to return to work for the balance of your workday.
If you are summoned for jury duty, please notify your supervisor immediately. Complete a leave of absence request form and submit it to your supervisor with a copy of your jury summons. You will receive a copy of your approved leave with reimbursement instructions once it has been approved by Human Resources.
Please be sure to record your absences in Skyward as jury duty.
Family Medical Leave Act (FMLA) became effective in 1993 and entitles eligible employees to take up to 12 weeks (60 days) of unpaid, job-protected leave in a 12 month period for specified family and medical reasons.
Reasons for taking FMLA leave include:
Questions on leaves and FMLA leaves should be directed to Mary Gorman at firstname.lastname@example.org.