Human Resources - Leaves of Absence
Applicants | Current employees | New employees | Substitutes
To apply for a leave of absence please review the documents and applications below then complete the appropriate forms and submit to: Human Resources Leave Office, P.O. Box 34165, MS 33-380, Seattle, WA 98124-1165. OR Fax to: (206)252-0021.
Contacts
| Benefits Website Benefits Helpline (206)957-7066 |
Your benefits may be affected by any type of leave of absence. Please review this important information: How are my benefits affected by 1. FMLA and other types of Leave OR 2. Having a baby. For more detailed information regarding how benefits are affected by Leave, call the Benefits Helpline. |
| Mary Lou Webster, Leave Administrator mlwebster@seattleschools.org (206)252-0099 |
Central and all other departments Leave processing for schools A to I NOTE: If you work in Special Ed or Bilingual but are assigned to a school, your leave will be processed by the person covering that school. |
| Becky Keesling, Leave Administrator rskeesling@seattleschools.org (206)252-0614 |
Leave processing for schools J to Z NOTE: If you work in Special Ed or Bilingual but are assigned to a school, your leave will be processed by the person covering that school. |
Leave forms
| Employee Leave Request | Completed by an employee when applying for Health Leave OR to care for a Family Member OR for Childcare Leave. The Employee Leave Request form must be forwarded to Human Resources with the appropriate Health Care Provider Certification (see below). |
| Health Care Provider Certification - Employee | Completed by the employee's physician when the employee is applying for Health Leave. |
| Health Care Provider Certification - Family | Completed by the family members's physician when the employee is applying for leave to care for a family member. |
| Medical Authorization to Return to Work | Completed by the employee and their physician when returning to work from a long-term health leave. |
| Annual memo for leave application | Memo to SEA represented Certificated and Classified starff January 2012 |
| Long Term Leave Without Pay Application | To be used when applying for an annual leave that is NOT a sabbatical, study or travel leave. Guidelines |
| Certificated Sabbatical Leave Application | The sabbatical leave program has been suspended for the term of the 2010-2013 collective bargaining agreement. Leave with partial pay. For full time certificated employees and non-represented administrative, managerial, supervisor/non-managerial and professional/technical employees. Guidelines |
| Certificated Study/Travel Leave Application | Leave without pay. Guidelines |
| Classified Sabbatical Leave Application | The sabbatical leave program has been suspended for the term of the 2010-2013 collective bargaining agreement. Leave with pay. For represented, full-time Paraprofessional and SAEOP staff. Guidelines |
| Classified Study Leave Application | Leave without pay. Guidelines |
| Long Term Disability Salary Replacement The LTD form is on the Benefits website. Scroll down the left hand navigation bar on this site and click on Long Term Disability. |
Benefit eligible employees who will be disabled for more than 45 calendar days may qualify for Long Term Disability Salary Replacement. Please contact the Benefits Helpline (206)957-7066 or visit the Benefits website. LTD Benefit Summary LTD and Work Related Disabilities. Instructions for submitting LTD forms: Employee completes the Employee Statement and Part 1 of the Physician Statement. Physician completes their portion of the Physician Statement. Employee sends the complete packet (including the employee form, the physician form, and the incomplete Employer Statement to Sprague Israel Giles Inc, ATTN: Melissa Hughes, 1501 Fourth Ave, Suite 730, Seattle WA 98101-1637. SIG will complete the Employer Statement and submit forms to Standard Insurance. |
| Leave Sharing Request Part I Leave Sharing Request Part II |
Part I completed by the employee so they can accept donated sick leave. Part II completed by the physician. Both parts I and II must be submitted to determine eligibility. Eligibility requirements |
| Leave Transfer Request | Completed by employees donating sick leave to another employee. Eligibility requirements |