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The following page is a three column layout with a header that contains a quicklinks jump menu and the search CSUN function. Page sections are identified with headers. The footer contains update, contact and emergency information.

If you are requesting a leave of absence:

I. Contact the Benefits Office

• We will discuss your options with you.
• (818) 677-2728

II. Complete an Employee Leave of Absence Request Worksheet

• http://www-admn.csun.edu/ohrs/benefits/programs/documents/loa_worksheet.doc
• Send a copy to your department, and a copy to Human Resources, attn: Mary Snipes, Benefits Administration, Mail code 8229.
• Benefits Administration will work with your department and timekeeper to complete the Leave of Absence Request Form.

III. Medical Certification (medical/maternity leave only)

• Your physician must state the beginning and end date of a medical leave.
• It should list only the dates you will miss work.
• No diagnosis is necessary.

When you return to work

• Stay in touch with your department during your leave. Communicate any leave changes (reduced or extended leave), and let them know when you expect to return.
  

If you have any questions

• Call Mary Snipes in Human Resources, x 2728 or email mary.snipes@csun.edu