IS-2094 Leave without Pay (Procedure)
Human Resources
Release Date: 8/14/01
Revision 1:11/06/02
Procedure
1. Requesting Leave without Pay
Leave without Pay, 30 Days or Less:
Employee
1.1 Complete a Request for Leave form and submit it to the supervisor for review and approval.
Supervisor
1.2 Sign the Request for Leave form if approval is granted.
1.2.1 If approval is not granted, advise the employee of the decision.
1.3 Forward the Request for Leave form to the department Timekeeper.
Continue with point 1.24.
Leave without Pay, 31 Days or More (not to exceed one year):
Employee
1.4 Submit a written memo requesting an extended leave to the supervisor for review. Describe the reason for the extended leave.
Supervisor
1.5 Review the written memo to ensure the request meets established criteria.
1.6 If the request meets established criteria, complete the supervisor's portion of the written memo and forward it to Human Resources for review.
1.7 Inform the employee if the request does not meet criteria.
Human Resources Representative
1.8 Review the written memo requesting an extended leave without pay and recommend approval or denial of the request.
1.9 Forward the written memo to the president for review.
President
1.10 Review the request for an extended leave without pay.
1.11 If approved, sign the written memo.
1.12 Forward the memo to Human Resources for further processing.
Human Resources Representative
1.12 Notify the employee's supervisor of the president's decision.
1.13 Forward the memo to the appropriate Human Resources Technician.
Supervisor
1.13 Notify the employee of the president's decision.
1.14 If approved, complete and forward a Request for Leave form to the Department Timekeeper.
Human Resources Technician
1.15 Schedule a benefits review meeting with the employee to discuss benefits and insurance premium payments if appropriate.
1.16 Generate a premium payment grid and a Personnel Data Form (PDF) placing the employee on leave without pay.
1.17 Make a copy of the premium payment grid.
1.18 Forward the PDF and the premium payment grid to the Human Resources Representative.
Human Resources Representative
1.19 Review and approve the PDF and the premium payment grid.
1.20 Return the PDF and the premium payment grid to the Human Resources Technician.
Human Resources Technician
1.21 Mail benefits and insurance premium payment schedule to employee if appropriate.
Employee
1.22 Make premium payments to the Payroll Department by check or money order according to the schedule provided by the Human Resources Technician.
Human Resources Technician
1.23 Forward the PDF and a copy of the premium payment grid to the Payroll Department.
Continue with point 1.24.
All Leave without Pay Requests:
Timekeeper
1.24 Enter the appropriate information on the Time Sheet/Leave Register.
1.25 Submit the Time Sheet/Leave Register to the Payroll Department.
1.26 File the Request for Leave form.
Payroll Department
1.27 Process the employee's Time Sheet/Leave Register according to department procedures.
1.28 Sign and file the Personnel Data Form (PDF).
2. Requesting an Extension of Leave without Pay
2.1 If the request is for an extension of 30 days or less beyond the original leave, follow the procedures for Leave without Pay, 30 Days or Less.
2.2 If the request is for an extension of 31 days or more beyond the original leave, follow the procedures for Leave without Pay, 31 Days or More (not to exceed one year).
2.3 The original leave, plus any extensions, may not exceed one year.
All Returns:
Supervisor
3.1 Notify the department Timekeeper and the Human Resources Technician in writing of the employee's return to work.
3.1.1 Attach any required documentation (for example, physician's statement, etc.) to the written notice.
Human Resources Technician
3.2 Generate a PDF to return the employee to the former pay status and remove from leave without pay status.
3.3 Forward the PDF to the Human Resources Representative.
Human Resources Representative
3.4 Review and approve the PDF.
3.5 Return the PDF to the Human Resources Technician.
Human Resources Technician
3.6 Forward the PDF to the Payroll Department.
Timekeeper
3.7 Enter the appropriate payroll code on the Time Sheet/Leave Register.
3.8 Submit the Time Sheet/Leave Register to the Payroll Department.
Payroll Department
3.9 Process the employee's Time Sheet/Leave Register according to department procedures.
3.10 Sign and file the PDF.
Employee
3.11 Submit a physicians statement to the immediate supervisor certifying that the employee can return to work and can perform the essential functions of the job, with or without reasonable accommodations, if the leave was for medical reasons. This documentation should be submitted as soon in advance of the return to work as possible.
Supervisor
3.12 Notify the Human Resources Representative if the releasing physician has recommended light duty or other accommodations for the employee.
Human Resources Representative
3.13 Review the suggested accommodations with the supervisor and provide guidance regarding compliance with the appropriate policies.
Continue with point 3.1.
Employee
3.14 Request an early return from leave at least one week in advance of the expected date of return.
Supervisor
3.15 Approve the employee's early return to work.
3.15.1 If not approved, advise the employee of the decision.
Continue with point 3.1.
Forms
Support Materials:
Sample Request for Leave Memo
IS-2006, Family and Medical Leave
IS-2084, Professional Development Leave
IS-2522, Political Activity
Reference Materials:
Employee Handbook 8.17, Leave without Pay
Employee Handbook 8.19, Absence without Leave
Collective Bargaining Agreements