Forms

• Application for Lengthy Leave6-11-09

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

• 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. 

 More information 

• Overview of the Family Medical Leave Act (FMLA)

• Family Medial 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.

• 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. 

• Leave Diagram09-10-09

Here is a flow chart of how leaves are used along with the rules of when the leave cannot be taken. 

• Personnel Handbook Section IV:  Leaves and Absences

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

• Exemplary Attendance Plan

Want to know how to earn Exemplary Attendance Days? 
See the Exemplary Attendance Plan.

• Selling Exemplary Attendance or Unused Sick Leave Days During Employment

  • Form to Sell Exemplary Attendance Days During Employment2009-2010
     
    Use the "Buy Back Form" above to to sell Exemplary Attendance days during September.  Complete the application to sell days during Employment.

• Retirement

  • Form to Sell Unused Sick Leave or Exemplary Attendance Days at Retirement

Thinking of retiring and want to sell EA or Local Leave Days? 
Complete application and turn in this form to Payroll when turning in your TRS 7 form.