Leave Request Form for Faculty & Staff

The Family and Medical Leave Act (FMLA) provides eligible employees up to 12 workweeks of unpaid leave a year, and requires group health benefits to be maintained during the leave as if employees continued to work instead of taking leave. Employees are also entitled to return to their same or an equivalent job at the end of their FMLA leave.  Substitution of paid leave for your unpaid FMLA entitlement is dependent upon employee leave balances or approval through Academic Affairs depending on employee classification.

The FMLA also provides certain military family leave entitlements. Eligible employees may take FMLA leave for specified reasons related to certain military deployments of their family members. Additionally, they may take up to 26 weeks of FMLA leave in a single 12-month period to care for a covered service member with a serious injury or illness.

Complete the following information to begin the Leave Request process for a current or upcoming leave.  Page two gives leave descriptions.  Choose one of these options to submit your request.  Human Resources will review your leave request and contact you with information and assistance on the leave process. 

Should you have questions, contact the Leave Management Administrator at 828-262-6488.