Leave Request & FMLA Forms

  • Employee:  When an employee is going to be out 10 consecutive days or more they need to fill out a Leave Request Form and an FMLA form.   
  • Principal:  Once the employee fills the forms, the principal will need to sign them. 
  • Bookkeeper:  The bookkeeper will then need the forms for substitute and AESOP purposes.  They will send the form on to Stephanie Brasher in Payroll at the Central Office.
  • Payroll: Stephanie will then determine what type of days will be used (paid or unpaid), if the salary will change, the substitute, etc. 
  • Insurance: Dana Simpson will check premiums, insurance, and handle any disability or FMLA that may arise because of the leave.  
  • Personnel:  Monica Snead, handles the remaining information and HQ substitute documentation then, Dr. Campbell, Personnel Director, will sign off on the forms
  • Board Approval: The Leave request is then passed to Laura Leak for board approval.


Request for Leave Form (must be accompanied by FMLA forms)

FMLA Form for Family Members Serious Health Condition

FMLA Form for Employee Serious Health Condition
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