Leave of Absence

Employee Leave Request

• Leave of absence Information
• How to complete the leave request form
• Employee Leave Request Form (pdf) (This form should only be completed for absences of six (6) days or more)
• Employee Short Leave Request From (pdf) (This form should only be completed for absences of five (5) days or less)
• Certification of Health Care Provider Form (pdf)(To accompany 'Employee Leave Request Form' if leave is for employee's own medical condition)
• Family Member Certification of Health Care Provider Form (To accompany 'Employee Leave Request Form' if leave is for a family members medical condition)
• Employee Sick Leave Bank Information (Click for more Information)

PAT Study Leave

• Informational Memo (pdf)
• Request for PAT Study Leave Form (pdf)
• PAT Study Leave Medical Form (pdf)(To accompany 'Request for Study Leave Form' - above)

Employee Application for Accommodation

• Click here to visit the ADA Accomodation page

Long Term Disability

• The Standard LTD Application ( ATU, DCU, PAT, PFSP)

Enrolling in Benefits (birth, full-time to part-time, return to work after losing coverage) -within 31 days of the event. All changes are done online and can be completed from home.

• Click here for benefits enrollment instructions and look under Leave of Absence section

PPS Leave of Absence Contact Information
For additional information or clarification about Leave of Absences, please contact Jodie Benson, Senior Leaves Specialist (jobenson@pps.net or 503-916-3301).