Hawaii doe leave of absence form 2026

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The document is the OHR Form 400a, an application for leave of absence for school-level certificated employees in Hawaii. It outlines the process for requesting various types of leave, including sick, personal, and family leave, as well as the necessary approvals and documentation required. The form includes sections for employee information, leave requests, approval signatures, and a doctor's statement if applicable. Additionally, it provides instructions on employee responsibilities while on leave and procedures for early return or failure to return to duty.

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Click ‘Get Form’ to open the Hawaii DOE Leave of Absence form in the editor.
Begin by filling out SECTION I: EMPLOYEE INFORMATION. Enter your name, mailing address, and home telephone number accurately to ensure proper communication.
Move to SECTION II: LEAVE REQUEST. Select the type of leave you are applying for (e.g., Sick Leave, Personal Leave) and specify the dates for your requested leave period.
If applicable, complete the Doctor’s Statement section in SECTION IV if you are requesting health leave or if your sick leave exceeds five consecutive workdays.
Review all entered information for accuracy before signing and dating the form at the bottom of SECTION II.
Submit your completed form through our platform for approval from your principal or immediate supervisor as outlined in the routing instructions.

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