Leave of Absence

If you would like to take a leave of absence from the District, there are many available leaves in accordance with your Collective Bargaining Agreement (CBA).

Please review your CBA for specific details regarding what types of leaves of absence you are eligible to take either short-term or long-term leave.  

The primary form to complete is the Request for Leave of Absence Form (PSL-F004) which is listed below. However, if you would like to take FMLA leave, there are two types available, which are for a serious illness for yourself, baby-bonding, or taking care of a seriously ill qualifying family member.

For your reference, you may also submit the request for leave of absence via InformedK12 and the link to the forms are below.

For leave of absence related questions, please email leaves@scusd.edu or call 916-643-7450.

Leave of Absence Forms

Request Forms

PSL-F004 Leave of Absence Request

PSL-F007a FMLA/CFRA – Health of Employee

PSL-F007b FMLA/CFRA – Health for a Family Member (including Baby Bonding)

Return from Leave of Absence Forms

PSL-F095 Return From Leave of Absence

PSL-F095 Return From Leave of Absence (Chinese)

PSL-F095 Return From Leave of Absence (Farsi-Dari)

PSL-F095 Return From Leave of Absence (Hmong)

PSL-F095 Return From Leave of Absence (Russian)

PSL-F095 Return From Leave of Absence (Spanish)

PSL-F095 Return From Leave of Absence (Vietnamese)

Downloadable Leave of Absence Forms

PSL-F094 - Checklist - Leave of Absence Request

PSL-F004 - Request for Leave of Absence

PSL-F007a - Application for FMLA/CFRA - Health of Employee

Certification of Health Care Provider for Employee’s Serious Health Condition

PSL-F007b - Application for FMLA/CFRA - Health of Family Member (includes Baby Bonding)

Certification of Health Care Provider for Family Member's Serious Health Condition

PSL-F095 - Return from Leave of Absence

PSL-F008 Resignation / Retirement Form

UMRA Update For Employees While on Leave of Absence

FFCRA Leave Requirements Expired 12/31/2020 (Leave of Absence Options)

2021 COVID-19 Supplemental Paid Sick (Effective March 29, 2021)

Note to Employees on Leave of Absence - User Management Resource Administrator (UMRA)
FFCRA Leave Requirements Expired December 31, 2020 (Q & A on Leave of Absence Options)
2021 COVID-19 Supplemental Paid Sick (Effective March 29, 2021)

Leaves Matrix

Leaves: Represented Employees

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• Service Employees International Union (SEIU)
• Classified Supervisors Association (TCS)
• Teamsters
• United Professional Educators (UPE)
• Sacramento City Teachers Association (SCTA)

Leaves: Non-Represented Employees

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• Non-Represented Supervisor
• Confidential
• Non-Represented Management
• Contract Employees