Leaves of Absence
Mary Medrano & Robin Mauro
Apply for Leave of Absence
Personal Health, Family Member's Health, Maternity, Parental, or Military Family Leave of Absence
If you are in need of a Personal Health, Family Member's Health, Maternity, Parental, or Military Family Leave of Absence, please follow these steps.
- Notify the District of your request for Leave by submitting an Employee Leave Request Form On the form, indicate what type of leave you are applying for, provide important contact information, and there is also a box on the form that you can check that notifies the District if you are also applying for the new Washington State Paid Family Medical Leave (PFML) program. If you have questions you can email, firstname.lastname@example.org.
- Next, take the appropriate Certification of Health Care Provider form for your situation, either the Employee Health Condition Form (for Personal Health or Maternity Leave) or the Family Member Health Condition Form (for Family, Parental or Military Family Leave) to the appropriate health care provider. The provider will complete the form and fax or scan it back to the District Leave Department.
- If you choose to, you can go on-line and apply for the new Washington State Paid Family Medical Leave (PFML). If approved, PFML will provide a benefit check to cover part of your salary. If you are on Leave, and approved for the PFML, the Leave Department can record your sick/personal/annual leave and/or shared leave in increments while you are on Leave. To apply for PFML visit, https://paidleave.wa.gov/apply-now.
a. The Employment Security Department will determine if you are eligible based on the hours you have worked. There are two thresholds for edibility; for payment ONLY, not job protected leave, the employee must have worked 820 hours over the past year. To be eligible for payment AND job protected leave, the employee must have worked 1250 hours over the past year. Depending on your position, there are other factors that could provide job protected leave that may be provided via an applicable collective bargaining agreement. Once you apply for leave, the Leave Department will review your request and provide a detailed explanation of your rights.
- You can contact the Leave Department at Quincy School District, 119 J St SW Quincy, WA 98848, email: email@example.com