Human Resources

Leave of Absence

INFORMATION

• FAQ - Frequently Asked Questions
• Leave of Absence Process for Employees
• Leave of Absence Process for Employers
• Explanation of New Leave Forms and Templates
• Rights and Responsibilities While on Leave
• Your Rights and Obligations as Pregnant Employee

LEAVE REQUEST FORMS (Contact your HR Analyst for all leave extensions)

• Request for Leave of Absence Form
• Medical Certification Form
• Leave Designation Letter
• ADA Reasonable Accommodations Request Form
• ADA Reasonable Accommodations Request Template Letter

RETURNING TO WORK

• Return to Work Medical Certification Request
• Notice of Return to Duty Form
• What to Expect in the Interactive Process for Employees
• What to Expect in the Interactive Process for Supervisors

ADDITIONAL DEPARTMENT TEMPLATES

• Medical Certification Request
• Maternity Leave Spreadsheet

 

An employee may request leave with or without pay for reasons of illness not covered by sick leave, to attend school or training; to accept appointment in the unclassified service; to work temporarily at another governmental agency; military leave; family leave; pregnancy disability or parental bonding.

There is current Federal and State law that governs leaves of absence:  The Federal Family Leave and Medical Act (FMLA), the California Family Rights Act (CFRA), and State of California Pregnancy Disability Leave program (PDL).

All requests should be in writing to the department head and should be coordinated through your department payroll coordinator. Requests in excess of twenty (20) days shall be forwarded to the County Human Resources Director by the department head for prior approval. (Failure to report back within 5 working days following expiration of leave-of-absence may constitute automatic resignation.)