Leaves of Absence
Human Resource Services
Department Address
1515 Hughes Way
Long Beach, CA 90810
Department Phone
(562) 997-8208
Family Medical Leave Act (FMLA) / California Family Rights Act (CFRA) - Certificated & Classified
- Family Medical Leave Act/California Family Rights Act Leave - Rights and Obligations
- FMLA - Medical Certification Form for Employee's and their Family Members Serious Health Condition
- FMLA - Certification Form for Qualifying Exigency For Military Family
- FMLA - Certification Form for Serious Injury or Illness of Covered Servicemember - - For Military Family Leave
Leave of Absence Request - Certificated
- Certificated Leave of Absence Request Form
You must be signed into your district Google account to access
Leave of Absence Request - Classified
Parental Leave - Certificated & Classified
- Parental Leave Request Form - Certificated Only
- You must be signed into your district Google account to access
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Parental Leave Form - Classified Only
Pregnancy Disability Procedures - Certificated & Classified
- Certificated Pregnancy Disability and Child Bonding Leave Procedures
- Absence Due to Maternity - Pregnancy Related Disability Request Form
- Return to Work from Maternity Form
Sick Leave - Certificated & Classified
Information regarding the following programs can be found on the Physician Services webpage:
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Paid Sick Leave Notice
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Substitutes - Paid Sick Leave
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Sick Leave Transfer Form
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District's Donated Sick Leave Program
To be directed to the page, click on the following: Physician Services