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Submit a Request for Faculty Family Medical Leave

Faculty leave is defined by GR X and the Revised Faculty Temporary Disability Leave and Family Medical Leave Policy. 

To request Family Medical Leave under these policies faculty members will need to take the following steps:

1. Have your or your sponsored dependent's healthcare provider complete the Request for Family and Medical Leave form. 

2. Upload the signed form using the button below (note: it will prompt you to log-in to Microsoft using your LinkBlue credentials).

Your request will be routed to the Associate Provost for Faculty Advancement for review and approval. You should receive a message within 24 hours regarding it's approval. Your Dean's office will also receive a message confirming approval of the leave. The message received by the Dean's office will not include the form signed by your health care provider or the details of the reason for the leave. 

If you have any questions, please contact

Submit Leave Request