Application Process

Application Process

  • The employee must complete the Leave of Absence Request form and send the completed form to Human Resources.  If possible, the employee must provide Human Resources 30 days notice. If not possible, notify Human Resources as soon as possible and if necessary comply with call-in procedures.
  • The employee must request their medical care provider to complete and return the WH380 form to Human Resources within 15 days.
  • Once the WH380 form is received and reviewed by Human Resources, The employee will be provided the eligibility notice within five business days.

    • Human Resources will include a Rights and Responsibility Notice with eligibility notices.

    Leave of Absence Request Form WH380 Form for Employees WH380 Form for Family Members