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Leave of Absence / Medical Leave Forms

 

If you need an extended leave of absence, family medical leave, sick leave, extended sick leave, or wish to dedicate sick leave to a member in need, you can fill out the appropriate forms below.

Extended Leave of Absence Form

Family Medical Leave

Request for Medical Leave

Application to Receive Sick Leave

Advanced Time (any leave of absence exceeding 30 days Must be approved by the Department)

Discretionary Grant (any leave of absence exceeding 30 days MUST be approved by the Department)

Dedicated Sick Leave