You may request and extended leave absence to take time away from work that is not covered under the Family Medical Leave policy. Leave for medical reasons
Leave for personal reasons
If you request an extended leave of absence for medical reasons you must provide a physician’s statement specifying the purpose and duration of the extended leave.
- Further requests may be made in increments of up to three months with the same medical certification up to the one-year limit.
- You may be required to submit subsequent certifications after a leave is approved but not more frequently than every 30 calendar days.
If you request an extended leave of absence for personal reasons, you will need to provide your department an adequate explanation of the reason.
- Some reasons include: family emergency, job related education or temporary relocation of spouse/partner.
- Approval will depend upon the circumstances, critical nature of the employee’s position as well as the practicality of replacing the employee.
An extended leave is available to benefit eligible employees who have worked in a benefit eligible position for more than six months and who intends to return to work at the end of the leave.
You could be granted leave up to a 12-month period as long as the time away from work does not exceed the number of days actively at work the prior year. In no instance will combined sick leave, family medical leave of absence, extended leave of absence or any combination of paid or unpaid leaves be for more than 12 months.
Requesting an extended leave of absence
Whenever possible you should request an extended leave of absence at least 30 days in advance. How to request an extended leave for medical reason
|Leave Request Form||Complete the online 'Leave of Absence Request' form. You will receive an email confirming of your request. Your department will be notified of your request.|
|Medical Certification|| Human Resources will evaluate you request and let you know if you are eligible If you are eligible for an extended medical leave for medical reasons, Human Resources will request medical certification. You will be sent a 'Certification of Health Care Provider' for your physician to complete.|
|Leave Determination||Once the completed 'Certification of Health Care Provider' Human Resources will determine if you are eligible for the FMLA |
- If eligible, you will be sent a 'Designation Letter' approving your time away work under FMLA.
- If not eligible, you will be sent a denial letter indicating the reason for denial.
- If the information is not sufficient to determine if you are eligible for FMLA, you will be sent a notice requesting additional information or clarification of the information submitted, along with a deadline for submitting the requested information
Paid vs unpaid statusIn order to receive pay during extended leave you must use accrued Leave .
comparison of paid vs unpaid status
- Medical: you may use sick leave, vacation or compensatory time..
- Personal: you may use vacation or compensatory time.
- You must use accrued sick leave, vacation or compensatory time to be paid during your leave.
- You must submit the required Request of Absence (ROA) forms each pay period. If you are unable to submit the required ROA(s), your supervisor should submit the ROA(s) on your behalf.
- Benefit contributions at the employee rate will continue to be deducted while you are on leave.
- If you do not have accrued leave you will be unpaid during your leave.
- You will be required to make personal payments for both the employee and employer of the cost of your benefits.
- Failure to make the required payments will result in termination of your benefits
Effect on Benefits
The effective an extended leave on your benefits depends on if your are on paid or unpaid status.more
| ||Paid Status||Unpaid Status|
|Health, Life and STD||Coverage and payroll deductions continue||Coverage can only continue if you make personal payments for the employee and employer cost of benefits |
|Leave accruals||You will continue to accrue vacation and sick leave based on the eligible earnings you are paid during your leave||No vacation or sick leave will accrue|
|Retirement||Service credit continue||Service credit due not continue but resume upon return|
|Continuous service||Included provided you return at the end of your approved leave||Included provided you return at the end of your approved leave|
|Educational aid||Eligibility continues||Eligibility continues|