Leave of Absence Forms
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Leave of Absence eForm
The leave of absence form is now located in Employee Self Service.
You can access Employee Self Service from Payroll Home Page on the district website. Below you will also find a How to Submit Help Sheet
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Employee's Guide to Taking a Leave of Absence 2023-2024
Employees Guide to Taking a Leave of Absence 2023-2024.pdf 351.72 KB (Last Modified on August 2, 2023)
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Other Leave of Absence Forms
The forms below are PDF fillable forms:
- Download the form to your computer
- Fill out the form, save
- Email forms to benefits@spps.org
For questions or further information contact Benefits
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Report of Workability Form
The purpose of this form is to provide the employee and employer with information about the employee's work restrictions (if any) upon returning to work.
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FMLA Fact Sheet
This fact sheet provides general information about which employers are covered by the FMLA, when employees are eligible and entitled to take FMLA leave, and what rules apply when employees take FMLA leave.
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FMLA Certification of Healthcare Provider for Employee's Own Health Condition (includes Pregnancy)
Use this form to have your health care provider establish a patient or family member's medical condition that requires FMLA-protected Leave
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FMLA Certification of Healthcare Provider for Family Member w/Health Condition (parent/child/spouse)
Use this form to provide sufficient medical certification to support a request for FMLA leave to care for a covered family member with a serious health condition.
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FMLA Certification of Healthcare for Care of an Injured Service Member
Use this form to provide sufficient certification to support a request for FMLA leave due to a serious injury or illness of a servicemember.
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FMLA Certification for Family Military
Use this form for eligible employees who have a "Qualifying Exigency" arising out of the foreign depolyment of the employee's spouse, son, daughter or parent.
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Sabbatical Leave Information
Use this form to apply for a Sabbatical Leave