Get Medical Leave Request Form - Human Resources - University Of ... - Hr Ucf

Completing the Medical Leave Request Form is an essential step for users seeking a medical leave of absence at the University. This guide provides clear instructions to help you navigate through the form effectively.

Follow the steps to successfully complete your medical leave request.

1. Press the ‘Get Form’ button to obtain a copy of the Medical Leave Request Form and open it in your chosen editor.
2. Select the type of request by checking one of the boxes: New Leave of Absence, Revision of original request, or Extension of Leave.
3. Fill in your department name, College/Division, Employee ID number, and job title. Indicate your employment classification by checking the appropriate box (USPS, A&P, Faculty, or OPS).
4. Provide your full name, home mailing address, and contact information. Ensure that all sections are completed legibly.
5. Choose the type of leave you are requesting: medical for yourself or a family member. Include the reason for your leave.
6. Indicate the last day you worked, start date of leave, and expected return date.
7. Select the nature of your leave: full unpaid leave, paid leave, combination of leave types, intermittent leave, or reduced work schedule leave. If proposing reduced work hours, attach the proposed schedule.
8. Specify any accrued leave options you may utilize during your absence: sick, annual, or compensatory leave.
9. If applicable, indicate whether you are requesting sick leave pool hours and complete required fields regarding this request.
10. Review the form for completion and sign where indicated. Submit your completed form to the appropriate supervisor or department head for approval.
11. After obtaining all necessary approvals, ensure to send the form to Human Resources for final approval within the stipulated time frame.
12. You can save changes, download, print, or share the form after completion and submission.

Start filling out your Medical Leave Request Form online today to ensure a smooth process for your leave of absence.