Application for Leave of Absence Without Pay: Fill out & sign online

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Click ‘Get Form’ to open the Application for Leave of Absence Without Pay in our platform's editor.
Begin by entering your Employee Name, Date, and Employee Number in the designated fields. This information is crucial for identification purposes.
Select your Department and indicate whether you are a Faculty/Non-Classified Employee or a Classified Employee. This will determine the duration of your leave.
Fill in the Dates of Absence if known, specifying the 'From' and 'To' dates to clarify your intended leave period.
In the Reason for Leave section, provide a detailed explanation of your purpose for taking leave, including any institutions you plan to attend or degrees you aim to pursue.
Review the Retention of Fringe Benefits section carefully. Ensure you understand your responsibilities regarding benefits during your absence and note any necessary actions required.
Finally, sign and date the form where indicated. Ensure that all required signatures from your Supervisor, Dean or Department Head, and President are obtained before submission.

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How do you justify unpaid leave?

Here are some common reasons for taking unpaid vacation: Extended Medical Leave: Time off recovering from major health issues after paid sick leave is used up. Family Caregiving: Supporting a sick child, elderly parent, or family member when FMLA or paid leave runs out.

Can you choose to take unpaid leave?

Employees may request unpaid leave for a wide range of reasons. Some of the most frequent scenarios include: Health and wellbeing - when employees experience physical or mental health concerns that extend beyond their accrued personal/carers leave, unpaid leave provides time for necessary recovery.

What is the maximum time for unpaid leave?

The Family and Medical Leave Act (FMLA) provides eligible employees up to 12 workweeks of unpaid leave a year, and requires group health benefits to be maintained during the leave as if employees continued to work instead of taking leave.

How to write a request for unpaid leave?

Dear [Managers Name], I hope this message finds you well. I am writing to formally request leave without pay from [start date] to [end date] due to personal reasons. I have exhausted my available paid leave and would appreciate your consideration for this unpaid leave period.

How to request an unpaid leave of absence?

How Can Employees Apply for Unpaid Time Off? An employee submits a written request for unpaid time off, within the required notice period. The manager or supervisor consults with HR and/or department heads. The manager or HR approves or denies the request.