Get Bereavement Leave

Navigating the bereavement leave process can be challenging during difficult times. This guide outlines the steps to fill out the Bereavement Leave Request Form online, ensuring that you can complete it accurately and efficiently.

Follow the steps to complete the Bereavement Leave Request Form.

1. Click ‘Get Form’ button to access the Bereavement Leave Request Form and open it in your preferred document editor.
2. Begin by entering your personal information in the Employee Information section. Provide your name, today’s date, title, phone number, address, and COCC ID number. Make sure this information is accurate, as it will be used for processing your request.
3. In the Employment Details section, indicate your date of hire and classification as full-time (FT), part-time (PT), or other. This helps confirm your eligibility.
4. Fill in the supervisor's name and select your department from the options provided. If you are taking intermittent leave, specify your schedule if known.
5. Provide details regarding the leave: the date you became aware of the death, the beginning date of your leave, and the expected date of your return to work.
6. Record the name of the deceased and your relationship to them. This section is important for eligibility verification under the Oregon Family Medical Leave Act.
7. Sign the form to confirm the information is accurate. Ensure your supervisor also signs the form, as their approval is required for leave to be granted.
8. After completing the form, save your changes. You may download, print, and share the completed form as necessary, ensuring that all required signatures are obtained.

Complete your Bereavement Leave Request Form online today to ensure timely processing of your leave.