Leave of Absence
Leave of Absence
Hello 鎊飪夥厙 Employees,
If you would like to take a leave of absence from the District, there are many available leaves in accordance with your Collective Bargaining Agreement (CBA).
Please review your CBA for specific details regarding what types of leaves of absence you are eligible to take either short-term or long-term leave.
The primary form to complete is the Request for Leave of Absence Form (PSL-F004) which is listed below. However, if you would like to take FMLA leave, there are two types available, which are for a serious illness for yourself, baby-bonding, or taking care of a seriously ill qualifying family member.
For your reference, you may also submit the request for leave of absence via InformedK12 and the link to the forms are below.
For leave of absence related questions, please email leaves@scusd.edu or call 916-643-7450.
Leave of Absence Request Forms:
Return from Leave of Absence Forms:
Hard-copy forms are below:
- PSL-F094 - Checklist - Leave of Absence Request
- PSL-F004 - Request for Leave of Absence
- PSL-F007a - Application for FMLA/CFRA - Health of Employee
- Certification of Health Care Provider for Employee＊s Serious Health Condition
- PSL-F007b - Application for FMLA/CFRA - Health of Family Member (includes Baby Bonding)
- Certification of Health Care Provider for Family Member's Serious Health Condition
- PSL-F095 - Return from Leave of Absence
- PSL-F008 Resignation / Retirement Form
- UMRA Update For Employees While on Leave of Absence
- FFCRA Leave Requirements Expired 12/31/2020 (Leave of Absence Options)
- 2021 COVID-19 Supplemental Paid Sick (Effective March 29, 2021)
- Read more