Leave

All Employees

• Catastrophic Leave Donation Form [pdf]
• Catastrophic Leave Donation Program Participation Request [pdf]
• Certification of Health Care Provider for Employee's Pregnancy Disability [pdf]
• Certification of Qualifying Exigency for Military Family Leave Form [pdf]
• Certification for Serious Injury or Illness of Covered Service member [pdf]
• CSU Difference in Pay Military Worksheet [pdf]
• Election to Continue Direct Pay for Employees on Leave of Absence [DocuSign] 
• Family Medical Leave (FML) Information Sheet [pdf]
• Leave of Absence for Employees [pdf]
• Leave of Absence Request [DocuSign] 
• Leave without Pay (LWOP) Information Sheet [pdf]
• Medical Certification for Family Medical Leave [pdf]
• Military Leave Information Sheet [pdf]
• Pregnancy Disability Leave (PDL) Information Sheet [pdf]
• Request for Emergency Paid Sick Leave/Emergency FML Expansion (DocuSign)
• Return-to-Work Program [pdf]
• Return to Work Certification [pdf]

Faculty Specific (includes Librarians, Counselors and some Coaches)

• Bereavement Leave Request - Unit 11 Employees (UAW) [docx]
• Bereavement Leave Request - Unit 3 Employees (CFA) [pdf]
• Leave Request Form for Faculty - Medical & Parental [DocuSign] 
• Leave Request Form for Faculty - Personal & Professional [DocuSign] 

For additional information contact leaves@sjsu.edu.