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The District knows life is hard. A leave of absence is a way for employees who are experiencing out of the ordinary circumstances may need to take time off. The District provides employees paid sick leave as required by law. Please refer to your applicable collevtice bargaining agreement for more information and contact Liz Cantu in Human Resources at liz.cantu@imperial.edu. or call 760-355-6194.

Initial Leave Request

Download the Request for Leave Form and submit it to Human Resources via email at liz.cantu@imperial.edu. Any staff member who expects to be out on leave for five or more days or who become aware of a need to take leave for a health issue should submit this form.

Employee Leave of Absence Request Form

 

Medical Certification Form

• Download the Medical Certification Form and take this form to a medical are provider who can verify:
  
  • That you or a family member has a serious medical condition or is expecting a child,
  • The likely duration for treatment and recover, and
  • If any work restrictions might be needed because of the condition.
  • In some situations, such as a Parental Leave for a parent welcoming a new child or placement of an adopted child the employee will submit a birth certificate or adoption paperwork instead of the Medical Certification Form

 

 

Types of Leaves

Family and Medical Leave Act

The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave. Eligible employees are entitled to:

• Twelve workweeks of leave in a 12-month period for:
  • the birth of a child and to care for the newborn child within one year of birth;
  • the placement with the employee of a child for adoption or foster care and to care for the newly placed child within one year of placement;
  • to care for the employee's spouse, child, or parent who has a serious health condition;
  • a serious health condition that makes the employee unable to perform the essential functions of his or her job;
  • any qualifying exigency arising out of the fact that the employee's spouse, son, daughter, or parent is a covered military member on "covered active duty;" or
  • Twenty-six work weeks of leave during a single 12-month period to care for a covered servicemember with a serious injury or illness if the eligible employee is the servicemember's spouse, son, daughter, parent, or next of kin (military caregiver leave).

 

Parental Leave

Parental Leave also known as Baby Bonding is a California and federal law grants mothers and fathers the right to 12 weeks of leave after a new child enters the family. During time f parents' bond with their new child. For women in California, maternity leave is a combination of a parental leave and pregnancy disability leave. For men in California, paternity leave is the equivalent of parental leave.

 

California Family Rights Act (CFRA)

The California Family Rights Act (CFRA) provides most employees in California with the right to take up to 12 weeks off work to care for themselves or their family members with a serious health condition, or to bond with a new child. Employees returning to work after taking CFRA leave are entitled to their same or a comparable position, among other job protections. The Civil Rights Department (CRD), which enforces CFRA, created this factsheet to help employees and employers understand recent changes to CFRA.

 

 

Resources