Leave of Absence

Leave of Absence With Pay

A leave of absence with pay may be granted per the applicable collective bargaining agreement.

Leave of Absence Without Pay

A leave of absence without pay may be granted for an academic, medical condition, medical condition of a family member, military active duty, military active duty of a family member, parental or a personal reason per the applicable collective bargaining agreement and/or the Family and Medical Leave Act.

  • Give advanced notice to Human Resources with the LCSD Request for Leave of Absence Without Pay form unless emergency conditions warrant otherwise.
  • Obtain Supervisor's signature on form.
  • Send completed form to Human Resources for approval.

Notice of Intent to Return

  • Notify Human Resources prior to the expiration of the leave of your intent to return or not to return.

The Family and Medical Leave Act (FMLA)

The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave. Eligible employees are entitled to:

  • Twelve workweeks of leave in a 12-month period for:
    • the birth of a child and to care for the newborn child within one year of birth;
    • the placement with the employee of a child for adoption or foster care and to care for the newly placed child within one year of placement;
    • to care for the employee’s spouse, child, or parent who has a serious health condition;
    • a serious health condition that makes the employee unable to perform the essential functions of his or her job;
    • any qualifying exigency arising out of the fact that the employee’s spouse, son, daughter, or parent is a covered military member on “covered active duty;” or
  • Twenty-six workweeks of leave during a single 12-month period to care for a covered service member with a serious injury or illness if the eligible employee is the service member’s spouse, son, daughter, parent, or next of kin (military caregiver leave).

See FMLA poster for more information.

Related Files
Attendance Transmittal Form 4 KB
pdf FMLA Poster pdf 42 KB
pdf Sign Form Electronically pdf 90 KB