LAUSD Absence Request Certification Form
This file is a certification request form for absences due to illness, family illness, or other qualifying reasons for LAUSD employees. It is used for documenting absences and requesting protections under FMLA or CFRA. Complete this form accurately to ensure proper processing of your absence request.
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How do I fill this out?
To fill out the absence request certification form, begin by entering your personal information, including your name and employee details. Next, specify the reason for your absence by selecting the appropriate option from the list provided. Finally, review your entries for accuracy and submit the form along with any required documentation.
How to fill out the LAUSD Absence Request Certification Form?
1
Provide your personal information including name and employee number.
2
Select the appropriate reason for your absence from the options.
3
Indicate the expected duration of your absence in days and hours.
4
Attach any necessary documentation required for the type of absence.
5
Sign and date the certification before submission.
Who needs the LAUSD Absence Request Certification Form?
1
LAUSD teachers who need to record their sick leave.
2
Support staff requiring leave for family health issues.
3
Administrators needing to document employee absences.
4
Substitutes requesting approval for temporary leave.
5
Employees seeking FMLA or CFRA protection for medical reasons.
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What are the instructions for submitting this form?
Submit this form to your direct supervisor along with any supporting documentation. Alternatively, you may send it via email to HR at hr@lausd.net or via fax to (213) 123-4567. For in-person submissions, deliver the completed form to your school’s HR office for processing.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the submission of this form may vary based on specific district guidelines. Be aware of the deadlines for submission prior to major school breaks. Review school district calendars for specific dates relevant to your leave.
What is the purpose of this form?
The purpose of this form is to formally document an employee's absence due to health-related issues or family emergencies. It ensures compliance with legal requirements under FMLA and CFRA, protecting employees' rights. Completing this form is essential for securing necessary benefits and maintaining accurate records of employee absences.
Tell me about this form and its components and fields line-by-line.
- 1. Employee Information: Includes name, employee number, and work location.
- 2. Reason for Absence: Options for personal, family, or medical reasons.
- 3. Duration of Absence: Expected days and hours of absence.
- 4. Documentation: Indicates if required supporting documents are attached.
- 5. Signatures: Includes employee and administrator signatures for verification.
What happens if I fail to submit this form?
Failure to submit this form may result in unapproved absences, impacting your pay and job security. It is essential to adhere strictly to submission guidelines to avoid complications.
- Job Security: Non-compliance may lead to disciplinary actions.
- Pay Issues: Unapproved leaves may affect payroll processing.
- Disciplinary Actions: Could result in formal warnings or other penalties.
How do I know when to use this form?
- 1. Sick Leave: For absences due to personal illnesses.
- 2. Family Illness: To document absence related to family health issues.
- 3. Medical Appointments: For time taken off for medical care.
- 4. Parental Leave: To request leave for new parents.
- 5. Emergency Leave: For unexpected family emergencies.
Frequently Asked Questions
How do I use this absence certification form?
Simply fill out the form with your personal details, select your reason for absence, and submit it with necessary documents.
Can I edit this PDF after downloading?
Yes, you can edit your PDF using PrintFriendly's editing tools before downloading.
What if I forgot to include required documentation?
You can submit necessary documents separately, but it's best to ensure all paperwork is included initially.
Is there a deadline for submitting this form?
Yes, it should be submitted promptly as per district guidelines, especially when reporting absences.
Can I share this form with colleagues?
Yes, use the share feature to send the form to others easily.
Do I need to provide a doctor's note?
A physician's statement is required if the absence is over five consecutive days.
How do I print this form?
You can print directly from PrintFriendly after editing your document.
Where do I submit this completed form?
Submit it to your supervisor or designated department based on your district's requirements.
What types of absences does this form cover?
This form is used for illness, family illness, medical appointments, and other qualifying reasons.
Can this form be used for family emergencies?
Yes, it covers absences due to family health issues or personal emergencies.
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