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Cal Poly Pomona Foundation, Inc. LEAVE OF ABSENCE REQUEST FORM FMLA/CFA/PDL Name Department Email: Date of Hire Classification: Address during leave: Phone/Cell during leave: TO BE COMPLETED BY EMPLOYEE
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How to fill out leave of absence request

How to fill out a leave of absence request:
01
Start by obtaining the leave of absence request form from your employer or human resources department. This form is typically available online or in paper format.
02
Begin by filling out the basic information section of the form, such as your name, employee ID, department, and position. Make sure to double-check the accuracy of the information provided.
03
Indicate the type of leave you are requesting, whether it is medical leave, maternity/paternity leave, personal leave, or any other specific type mentioned on the form. Provide a brief explanation or reason for your leave request.
04
Specify the dates for which you are requesting the leave. This should include both the starting and ending dates.
05
If applicable, attach any supporting documentation or medical certificates required by your employer to validate your leave request. This may include a doctor's note, hospital records, or any other relevant documents.
06
Review the form to ensure all the necessary information has been completed accurately. Make any corrections or additions if needed.
07
Sign and date the form to acknowledge that the information provided is true and accurate to the best of your knowledge.
08
Submit the filled out leave of absence request form to your employer or human resources department. Follow the designated submission process, which may involve submitting it directly to your supervisor, returning it to the HR office, or uploading it through an online portal.
Who needs a leave of absence request:
01
Employees who require time off from work due to medical reasons, such as illness, injury, or surgery, often need to submit a leave of absence request. This allows them to take the necessary time off to recover and return to work when ready.
02
New parents may also need to submit a leave of absence request, commonly known as maternity or paternity leave, to care for their newborns or newly adopted children. This enables them to bond with their child and handle the logistics of childcare during this crucial period.
03
Individuals who need to address personal matters or other personal emergencies may also have to submit a leave of absence request. This could include attending to family matters, dealing with legal issues, or taking a sabbatical for personal growth and development.
04
Sometimes, employees may require an extended break from work due to burnout or stress-related issues. In such cases, they can request a leave of absence to focus on their mental and emotional well-being, ensuring they can return to work refreshed and rejuvenated.
05
Each organization may have its own policies and guidelines for granting leaves of absence, so it is essential to consult your company's HR department or review the employee handbook for specific details on who is eligible for a leave of absence and the procedures to follow.
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What is leave of absence request?
A leave of absence request is a formal application made by an individual to request time off from work or school.
Who is required to file leave of absence request?
Employees or students who need to take time off from work or school are required to file a leave of absence request.
How to fill out leave of absence request?
To fill out a leave of absence request, individuals typically need to provide details such as the reason for the leave, the dates of absence, and any supporting documentation.
What is the purpose of leave of absence request?
The purpose of a leave of absence request is to formally notify employers or school administrators of the need to take time off and to request approval for the leave.
What information must be reported on leave of absence request?
Information such as the reason for the leave, the dates of absence, contact details, and any relevant documentation must be reported on a leave of absence request.
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