AFSCME and PSSU Leave Information

  • FMLA
    Employee rights and responsibilities under the Family and Medical Leave Act.
    Notice to Employees: Sick, Parental, and Family Care (SPF) Absence
    Notice to AFSCME, PSSU, and SPFPA Employees Family and Medical Leave Act Sick, Parental, and Family Care (SPF), Military Exigency and Military Caregiver Effective 7/1/15 FMLA Information The absence provisions described below are consistent with the Family and Medical Leave Act of 1993 (FMLA) except where more generous
    Request for Sick, Parental or Family Care (SPF) Absence
    State System 03/24/2015 Family Medical Leave Act -AFSCME, PSSU, SPFPA Request for Sick, Parental or Family Care (SPF) Absence EMPLOYEE INFORMATION: Employee Name Personnel Number Home Telephone Number (optional) University Work Location Supervisor’s Name Timekeeper’s Name (optional) REQUEST INFORMATION: I am requesting
    Serious Health Condition Certification Form - Employee
    State System Updated 4/1/2015 Family and Medical Leave Act Employee Serious Health Condition Certification AFSCME, PSSU, SPFPA SECTION 1: TO BE COMPLETED BY EMPLOYEE INSTRUCTIONS to the EMPLOYEE:  Please complete Section 1 before giving this form to your health care provider. The FMLA permits an employer to require th
    Serious Health Condition Certification Form - Family Member
    State System Updated 4/1/2015 Family Medical Leave Act Family Member Serious Health Condition Certification AFSCME, PSSU, SPFPA SECTION 1: TO BE COMPLETED BY EMPLOYEE INSTRUCTIONS to the EMPLOYEE:  Please complete Section 1 before giving this form to your family member’s health care provider. The FMLA permits an emplo
    Release to Return to Work - Staff
    Form to be completed by employee's health care provider to return to full or modified duties following an extended sick leave.
    Request for Military Exigency Absence
    Military Exigency Absence is a paid or unpaid absence from work with benefits arising from the deployment of a souse, parent or child.
    Military Exigency Certification
    Form to certify the need for a military exigency absence request.
    Request for Military Caregiver Absence
    Military Caregiver Absence is a paid or unpaid absence from work with benefits due to the serious injury or illness of a servicemember who is a family member when the employee is attending to the medical needs of the servicemember.
    Serious Injury or Illness of a Servicemember Certification Form
    Form to certify the serious injury or illness of a Servicemember for a Military Caregiver Absence request.