Submit the following document(s) to your supervisor, manager or bookkeeper and they will forward them to Human resources:

• A completed Leave of Absence:

  • MIS #09.11 - LOA Application

• A completed Certification of Health Care Provider:

  • MIS #09.126 - for Employee

    • MIS #09.127 - for Family Member

Please Note: The "Beginning and Ending Dates" on the LOA Application and Certification of Health Care Provider MUST match.

Employees who apply for leave under the FMLA guidelines may be eligible if they have worked for at least 12 months, and worked for 1,250 hours over the previous 12 months. All employees on leave under FMLA guidelines may continue to receive School Board insurance benefits for the duration of the approved leave (up to 12 weeks). The employee is still responsible for any premium deducted from their paycheck. If the employee does not qualify for FMLA benefits, the employee is responsible for insurance premiums.

• LOA Questions: Call Human Resources at 471-5735 or 471-5736

• Insurance Questions: Call Insurance & Benefits at 471-5669 before applying for any leave of absence