Get Da 325 (revised 05-09)

This guide provides clear and detailed instructions on how to complete the DA 325 (Revised 05-09) form online. Following these steps will ensure that you accurately fill out the shared leave request form for the State of Kansas, facilitating a smooth submission process.

Follow the steps to complete the DA 325 form online effectively.

1. Press the ‘Get Form’ button to access the DA 325 online form. This will allow you to open it in your preferred editing tool.
2. In Part I, fill in your employee name and ID number. Provide your home address, city, state, zip code, home and work telephone numbers, agency name, and department ID.
3. Indicate the purpose of your request, specifying whether it is for yourself or a family member. If it concerns a family member, clearly state their name and your relationship to them, including the age if the family member is a child.
4. Enter the date when the illness or injury began and provide an estimate of the number of hours you are requesting for shared leave. State the anticipated duration of the leave.
5. Clarify when all paid leave will be or was exhausted. Ensure your explanation reflects that shared leave is applicable only for serious, extreme, or life-threatening conditions.
6. Provide a detailed description of the illness, injury, or condition, including any relevant information that supports your need for shared leave.
7. Answer the questions related to workers' compensation and long-term disability payments, providing relevant dates and information.
8. Sign and date the form at the end of Part I, certifying your understanding and agreement with the shared leave program requirements.
9. If applicable, ensure the Licensed Health Care provider completes Part II, detailing the patient's condition, treatment, and anticipated duration of their inability to work.
10. In Part III, ensure your agency's human resources office completes the required certifications regarding your leave eligibility and maintains proper records.
11. Complete Part IV if you are a Shared Leave Committee member, indicating whether the request is approved, denied, or needs clarification.
12. Finally, in Part V, the appointing authority must approve or deny the shared leave request.
13. After completion, you can save your changes, download the form, print it, or share it as necessary.

Complete your DA 325 form online today for an efficient application process.