ࡱ> g YbjbjVV 8r<r<Z***8b&*L/luP "-U.U.U.U.U.U.$03y.A&uuA&A&y./Y*Y*Y*A&j-Y*A&-Y*Y**Z-w'K&^J--/0L/R-T4 'DT4Z-T4Z-8#%$rY*$\$N###y.y.M) ###L/A&A&A&A&T4######### : CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS Leave Form APPLICATION FOR LEAVE OF ABSENCE Complete this form for all full and partial leaves exceeding 15 working days. Contact the HR Benefits Specialist, 805/437-8426, for questions regarding continuation of insurance benefits. Contact OPC 805/437-8960 to return University keys and other mechanisms for a full Leave Without Pay For Temporary and part-time employees, eligibility for Leave Without Pay varies by bargaining unit. To determine eligibility, contact Human Resources Programs at 805/437-8940. Contact the OPC Key Shop, 805/437-8960, to return University keys for a full Leave without Pay. EMPLOYEE NAME  FORMTEXT      EMPLOYEE ID or SOCIAL SECURITY NUMBER  FORMTEXT      ADDRESS DURING LEAVE (this will not change address currently in the Human Resource Database)  FORMTEXT      DEPARTMENT  FORMTEXT       FORMTEXT      CSU CLASSIFICATION  FORMCHECKBOX  MPP  FORMCHECKBOX  Confidential  FORMCHECKBOX  Represented  Unit:  FORMTEXT      TYPE OF LEAVE WITHOUT PAY:  FORMCHECKBOX  Family Medical Leave Act (FMLA)/California Family Rights Act (CFRA)  FORMCHECKBOX  Maternity  FORMCHECKBOX  Paternity  FORMCHECKBOX Adoption  FORMCHECKBOX Other:  FORMTEXT       FORMTEXT        FORMCHECKBOX  Medical  FORMCHECKBOX  Military Services  FORMCHECKBOX  Personal  FORMCHECKBOX  Professional  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       TYPE OF LEAVE WITH PAY:  FORMCHECKBOX  Family Medical Leave Act (FMLA)/California Family Rights Act (CFRA)  FORMCHECKBOX  Maternity  FORMCHECKBOX  Paternity  FORMCHECKBOX Adoption  FORMCHECKBOX Other:  FORMTEXT       FORMTEXT        FORMCHECKBOX  Medical  FORMCHECKBOX  Paid Military Leave  up to 30 days  FORMCHECKBOX  Personal  FORMCHECKBOX  Professional  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Reason for requesting Leave  attach additional sheet if necessary (do not include specific medical information):  FORMTEXT       EMPLOYEE SIGNATURE: DATE: COMPLETE SECTION BELOW FOR: FULL-TIME LEAVEPAID LEAVE TO BE USED PRIOR TO UNPAID PAY?  FORMCHECKBOX YES --Contact Payroll Services  FORMCHECKBOX  NOLAST DAY TO BE PHYSICALLY WORKED  FORMTEXT      UNPAID LEAVE START DATE  FORMTEXT      UNPAID LEAVE ENDING DATE  FORMTEXT      If using accrued leave credits select type and indicate hours available:Payroll Use: FORMCHECKBOX  Sick Leave  FORMCHECKBOX  Vacation  FORMCHECKBOX  Personal Holiday# of hours available:  FORMTEXT       # of hours available:  FORMTEXT       # of hours available:  FORMTEXT  +89Z   < > R T V ` b d ƸƪԜmbZPJ=PjvhOZCJU hOZCJjhOZCJUhOZOJQJhOZ5CJOJQJ&jhOZCJOJQJUmHnHu!jhOZCJOJQJUhOZCJOJQJjhOZCJOJQJUhOZB*CJOJQJphhOZB*OJQJ^JphhOZB*CJOJQJphhOZhOZ5@CJOJQJhOZ5@CJOJQJhOZ5@CJOJQJ9Z ~ ^  < d x$If$If !x<$If$If$a$$ & Fa$ $ 0**$a$     " $ J L h ƾѾtܰc[jhOZU!jhOZCJOJQJUjhOZCJU&jhOZCJOJQJUmHnHu!j|hOZCJOJQJUhOZCJOJQJjhOZCJOJQJUhOZOJQJhOZCJOJQJ\hOZ5CJOJQJhOZ hOZCJjhOZCJUjhOZCJUmHnHu" x x<$Ifx$If$Ifokd$$Ifl    0->+;0    L,4 la^ $ J 8x x<$If$If$Ifokd<$$Ifl    0->+;0    L,4 la^h j l ~ &(*46:Vdlxz46Röȧ蚊~n~[n~n~%jhOZCJOJQJU^JjhOZCJOJQJU^JhOZCJOJQJ^JhOZ56CJOJQJ]^JhOZ5CJOJQJ^JjhOZ>*UmHnHujhOZ>*U hOZ>*jhOZ>*Uj*hOZUjhOZUhOZjhOZUjBhOZU8:p$V 8&b$Ifokd$$Ifl    0->+;0    L,4 la^RTVln  ",0DнЪЗЅxcLx-jhOZ>*CJOJQJU^JmHnHu(jhOZ>*CJOJQJU^JhOZ>*CJOJQJ^J"jhOZ>*CJOJQJU^J%j~hOZCJOJQJU^J%jhOZCJOJQJU^J%jhOZCJOJQJU^JhOZCJOJQJ^JjhOZCJOJQJU^J%jhOZCJOJQJU^JDFHRT^`|~  (*FHJjlٶmZMhOZ>*CJOJQJ^J%jB hOZCJOJQJU^J%j hOZCJOJQJU^J%jV hOZCJOJQJU^J%jhOZCJOJQJU^JjhOZCJOJQJU^JhOZCJOJQJ^J-jhOZ>*CJOJQJU^JmHnHu"jhOZ>*CJOJQJU^J(jjhOZ>*CJOJQJU^J$,4@ٵٵٵvj]M]jhOZ56CJOJQJ]^JhOZ5CJOJQJ^JhOZCJOJQJ^J(j hOZ>*CJOJQJU^J(j hOZ>*CJOJQJU^J(j. hOZ>*CJOJQJU^JhOZ>*CJOJQJ^J-jhOZ>*CJOJQJU^JmHnHu"jhOZ>*CJOJQJU^J(j hOZ>*CJOJQJU^J@B^`b46RTVlnrePr(jhOZ>*CJOJQJU^JhOZ>*CJOJQJ^J"jhOZ>*CJOJQJU^J%jhhOZCJOJQJU^J%j hOZCJOJQJU^J%j| hOZCJOJQJU^J%j hOZCJOJQJU^J%j hOZCJOJQJU^JhOZCJOJQJ^JjhOZCJOJQJU^J .0LNPjl:<>`bɴ֨r_L%j,hOZCJOJQJU^J%jhOZCJOJQJU^J%j@hOZCJOJQJU^J%jhOZCJOJQJU^JjhOZCJOJQJU^JhOZCJOJQJ^J(jThOZ>*CJOJQJU^JhOZ>*CJOJQJ^J"jhOZ>*CJOJQJU^J-jhOZ>*CJOJQJU^JmHnHubvxz8˴˴˴u˴i_TGTGhOZ5CJOJQJ^JhOZ5OJQJ^JhOZCJOJQJhOZCJOJQJ^J(jhOZ>*CJOJQJU^J(jhOZ>*CJOJQJU^J(jhOZ>*CJOJQJU^J-jhOZ>*CJOJQJU^JmHnHu"jhOZ>*CJOJQJU^J(jhOZ>*CJOJQJU^JhOZ>*CJOJQJ^J $Ifvkdz$$Ifl4    }0>+$ ( 0    L,4 la^f4  DFdf᩟{phZP?ZPZP!jhOZCJOJQJUhOZCJOJQJjhOZCJOJQJUhOZOJQJhOZ5CJOJQJ hOZCJhOZCJOJQJhOZhOZ56CJOJQJ]^JhOZCJOJQJhOZCJOJQJ^J-jhOZ5CJOJQJU^JmHnHu(jChOZ5CJOJQJU^JhOZ5CJOJQJ^J"jhOZ5CJOJQJU^J  6BD$Ifckd$$Ifl4    >+L,0    L,4 la^f4DFy $$Ifa$$IfvkdX$$Ifl4    0">+'#% 0    L,4 la^f4(P||tx$If x<$If0$If^`0$Ifekd$$Ifl0>+     L,4 la^p &(*>@BLNP>XZ\÷Ψη·÷xtit[jhOZCJOJQJUhOZ5OJQJ\hOZj|hOZOJQJUjhOZOJQJU"jhOZOJQJUmHnHujhOZOJQJUjhOZOJQJUhOZ5CJOJQJhOZOJQJhOZCJOJQJjhOZCJOJQJU!jHhOZCJOJQJU">X  !x$Ifpkd$$Ifl\ d!>+     L,4 la^XZd JJJ.JJu x$If^x$If x$If^jkd$$Ifl40>+  ,  L,4 la^f4p \xz|<>RTV`bdr_r$jhOZ>*CJOJQJU)jhOZ>*CJOJQJUmHnHu$j hOZ>*CJOJQJUhOZ>*CJOJQJjhOZ>*CJOJQJU!jhOZCJOJQJU!jhOZCJOJQJUjhOZCJOJQJU!jhOZCJOJQJUhOZCJOJQJ JJ JJJZJ\JpJrJtJ~JJJJJJJJJ0LnLpLLLLLLLݻݻݻ~ݻzpzbpQbpbp!jhOZCJOJQJUjhOZCJOJQJUhOZCJOJQJhOZ$jhOZ>*CJOJQJU$jkhOZ>*CJOJQJUhOZCJOJQJhOZ5CJOJQJ\hOZ>*CJOJQJU)jhOZ>*CJOJQJUmHnHujhOZ>*CJOJQJU$jhOZ>*CJOJQJU     Leave Balance Checked on this date:  FORMTEXT       FORMTEXT      Do you intend to maintain and pay for benefits during the unpaid portion of your leave? If you answer yes to any of the below, please contact Human Resources Programs for payment arrangements. 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