Leave
All Employees
- Catastrophic Leave Donation Form [pdf]
- Catastrophic Leave Donation Program Participation Request [pdf]
- Certification of Health Care Provider for Employee's Pregnancy Disability [pdf]
- Certification of Qualifying Exigency for Military Family Leave Form [pdf]
- Certification for Serious Injury or Illness of Covered Service member [pdf]
- CSU Difference in Pay Military Worksheet [pdf]
- Election to Continue Direct Pay for Employees on Leave of Absence [DocuSign]
- Family Medical Leave (FML) Information Sheet [pdf]
- Leave of Absence for Employees [pdf]
- Leave of Absence Request [pdf]
- Leave without Pay (LWOP) Information Sheet [pdf]
- Medical Certification for Family Medical Leave [pdf]
- Military Leave Information Sheet [pdf]
- Pregnancy Disability Leave (PDL) Information Sheet [pdf]
- Request for Emergency Paid Sick Leave/Emergency FML Expansion (DocuSign)
- Return-to-Work Program [pdf]
- Return to Work Certification [pdf]
Faculty Specific (includes Librarians, Counselors and some Coaches)
- Bereavement Leave Request - Unit 11 Employees (UAW) [docx]
- Bereavement Leave Request - Unit 3 Employees (CFA) [pdf]
- DIP Terms and Conditions [pdf]
- Leave Request Form for Faculty - Medical & Parental [DocuSign]
- Leave Request Form for Faculty - Personal & Professional [DocuSign]
- Promissory Note [pdf]
- Sabbatical Terms and Conditions [pdf]
- Terms & Conditions for DIP and or Sabbatical Application [pdf]
For additional information contact up-leaves@bianlifan.com.
