Forms

• Application for Lengthy Leave

If you are planning to take a leave of absence for more than 5 consecutive days, you must complete an Application for Lengthy Leave.

It is recommended that you include a completed Certification of Health Care Provider (below) when submitting your Application for Leave when possible.”

• Certification of Health Care Provider (FMLA)

- Certification of Health Care Provider for Employee's Serious Health Condition

- Certification of Health Care Provider for Family Member's Serious Health Condition

A completed Certification of Health Care Provider is required when requesting Lengthy Leave.  The form must be turned in to the Benefits Office.

• IISD Notice - FMLA Eligibility

The eligibility notice will be completed by HR once application for leave is received or if HR is notified of an absence that may qualify for FMLA.

• Confirmation of Delivery (Maternity Leaves Only)

The district will request confirmation of delivery and estimated return to work date within 2 weeks of delivery.

• Medical Release: Reasons Other than Maternity

This form must be returned to the Benefits Office one week prior to return to work.  No employee will be allowed back to work following an extended absence without doctor's release.

 More information 

• Overview of the Family Medical Leave Act (FMLA)

• Family Medical Leave Act Update

Here is an Overview of the Family Medical Leave Act (FMLA).  If you qualify for FMLA leave, your position is protected for up to 12 working weeks with medical documentation. The law does not provide income during the leave, however, if you do have local, state or personal leave days available, they may be used concurrently with the FMLA leave so that you can be paid for the days available to you.  Review the law to see if you are eligible for FMLA leave.

• Maternity FMLA -What to Expect09-16-10

• DEC Local Board Policy

Review DEC Local Board Policy to review leaves available to you.   

• Sick Leave Bank

Application to Join Sick Leave Bank

     - Sick Leave Bank Membership Application

Forms & Information

     - Form to Request Sick Leave Bank Days

     - Sick Leave Bank Handbook

     - Sick Leave Bank Committee 09-10

If you are a member of the Sick Leave Bank, you may apply for leave from that source if all other leaves will be exhausted during your lengthy leave.  Complete the packet in its entirety. 

• Personnel Handbook Section IV:  Leaves and Absences

Administrators and payroll clerks can review the Handbook regarding leaves for more information.