State of California Formal Leave of Absence Request
This form is a request for a formal leave of absence from work. It provides necessary details for employees wanting to take leave for various reasons. Properly filling out this form is crucial for adherence to state regulations and employer policies.
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How do I fill this out?
To fill out this form, start by entering your personal information at the top. Specify the type of leave you are requesting and the duration of your absence. Ensure that all required attachments are included before submitting the form.

How to fill out the State of California Formal Leave of Absence Request?
1
Provide your last and first name along with your office or agency.
2
Select the type of leave you are requesting and provide the dates.
3
Attach any necessary documents to support your leave request.
4
Obtain and fill out the supervisor's section after your part is completed.
5
Submit the form to the appropriate department for review.
Who needs the State of California Formal Leave of Absence Request?
1
Employees needing to take medical leave for illness.
2
Parents taking leave for newborn care.
3
Individuals seeking time off for educational purposes.
4
Employees managing family caregiving responsibilities.
5
Those involved in union activities requiring leave.
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What are the instructions for submitting this form?
To submit the leave of absence form, print the completed document and hand it to your immediate supervisor. Alternatively, you can send it via email to your department's HR representative at hr@example.com. For fax submissions, send to 555-123-4567. Ensure to keep a copy for your records.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, ensure to check specific departmental regulations regarding your leave of absence requests, especially any deadlines for submissions or necessary approvals related to state policies.

What is the purpose of this form?
The purpose of this form is to provide employees with a structured means to request a leave of absence. It ensures compliance with state regulations, allowing employees to formally notify their employer of their intended absence. The form contains vital fields that assist in documenting the reason, duration, and necessary approval processes associated with taking leave.

Tell me about this form and its components and fields line-by-line.

- 1. Last Name: The employee's surname.
- 2. First Name: The employee's given name.
- 3. Office/Client Agency: The department or agency the employee works with.
- 4. Request Type: Indicates if this is an initial request or an extension.
- 5. Period of Leave of Absence: The start and end dates for the requested leave.
- 6. Substantiation: Supporting documents provided for the leave.
- 7. Employee Signature: The signature of the employee requesting leave.
- 8. Supervisor Name: The supervisor reviewing the request.
- 9. Supervisors Signature: The signature of the supervisor.
What happens if I fail to submit this form?
Failure to submit this form can lead to unauthorized absences, resulting in disciplinary action. Employees may miss out on critical benefits related to their leave entitlements. Proper documentation is vital for compliance with employer policies and state regulations.
- Unauthorized Absences: Absences without approved leave can result in pay deductions or disciplinary measures.
- Loss of Benefits: Employees may lose insurance and other benefits tied to their status during leave.
- Additional Paperwork: May require additional forms to justify absence if not documented properly.
How do I know when to use this form?

- 1. Medical Leave: To request time off for personal illness or medical treatment.
- 2. Parental Leave: For time off related to childbirth or adoption.
- 3. Educational Leave: For absences related to educational pursuits or training.
- 4. Family Care Leave: To provide care for family members who are ill.
- 5. Union Activities: For participation in authorized union activities.
Frequently Asked Questions
What is a Formal Leave of Absence Request?
It is a form employees use to formally request time off for various reasons.
How do I fill out the leave request form?
Fill it out by providing your personal information, indicating the type of leave, and specifying the dates.
Can I edit the PDF after filling it out?
Yes, use PrintFriendly's PDF editor to make any necessary changes before downloading.
Is it possible to sign the PDF digitally?
Yes, you can draw or upload a signature for the document.
How do I save the edited PDF?
After editing, use the download feature to save your changes.
What types of leaves can I request?
You can request leave for illness, family care, education, or other specified reasons.
Who approves the leave request?
Your immediate supervisor and higher management sections will review and approve the request.
How do I submit the leave request form?
Submit it to your supervisor or the designated department as per your agency’s policy.
What if my leave request is denied?
You will receive an explanation for the denial, and may need to provide additional documentation.
Can I get help filling out the form?
Yes, assistance is available from human resources or your supervisor.
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