Welcome to Absence Management!

**Due to the high volume of requests employees must schedule an appointment to apply for extended leave, for example, FMLA, LOA, etc.  To schedule an appointment call Payroll and Benefits Services at 301-952-6230**

Here you will find essential information to guide you in your efforts of applying for extended leave by use of "Family Medical Leave Act", "Leave of Absence", or Sick Leave Bank" if the need should arise. As a classified permanent employee it is important-and it is your responsibility-to be informed of policies and procedures regarding extended leave and how it will effect you.

Here you will find: 

To Request Extended Leave use the appropriate form(s) below:  Please view the Extended Leave Request Checklist here

• FMLA Request for Employee's Serious Health Condition/Maternity/Paternity 
• FMLA Request Care for a Family Member/Serious Health Condition 
• FMLA Request Military Serious Illness or Care of Service Member 
• FMLA Request Military Qualifying Exigency 

• LOA Request for PGCEA Members 

• LOA Request for Local 2250 and SEIU 400 Members 

• LOA Request for ASASP Members and Executive Staff/Confidential Employees 

• Maternity Leave Request Form (PGCEA Only) 

• LOA Employee Medical Certificate (to be submitted with LOA request) 

• LOA Military Serious Illness or Care of Service Member Medical Certificate (to be submitted with LOA request) 

Thank you for visiting our website! We hope the information that we have provided is useful. To get started with an extended leave please contact Payroll and Benefits Services at 301.952.6230 to be directed to the Leave Assistant for your work location.   Questions regarding workers’ compensation, please call 301.952.6316 or visit the Risk Management web page.

Location: Sasscer Administration Building, Room 132