| Leave Request Form | Complete this form to apply for a Leave of Absence. The form may be faxed to 678-301-6111 or sent through GCPS courier to the Benefits and Leave Administration Office. Do not submit directly to the Principal or Program Manager. NOTE: You only need to complete this form if you will miss more than 10 consecutive working days. |
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| Short-Term Disability Form | Complete this form to apply for Short-Term Disability. The form may be faxed to 678-301-6111 or sent through GCPS courier to the Benefits and Leave Administration Office. This form must be completed by a health care provider. |
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| Sick Leave Bank Withdrawal Form | Complete this form if the employee is on a Leave of Absence, enrolled in the Plan, and wishes to apply for withdrawal. |
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| Family Medical Leave Act (FMLA) Form | Employee Illness ONLY - Use this form to document the illness. This form needs to be completed by the health care provider. |
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| Family Medical Leave Act (FMLA) Form | Family Member Illness ONLY - Use this form to document the employee's family members' illness. This form needs to be completed by the health care provider. |
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| FMLA Military | Use this form for certification of qualifying Exigency for Military Family Leave. |
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| FMLA Injury Illness Military | Use this form for certification for serious injury or illness of covered Service member for Military Family Leave. |
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| Leave of Absence FAQ | Leave of Absence Frequently Asked Questions |
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