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 FORMS.   
  • 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: Please contact Dana Simpson in Benefits for premium amounts, insurance questions and any disability issues that may arise because of the leave.  
  • Personnel:  Gina Rich handles the remaining information and HQ substitute documentation the Director of Personnel will then sign off on the forms
  • Board Approval: The Leave request is then passed to Monica Snead 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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