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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.

IV. Faculty Affairs Application for Maternity/Paternity Leave (if applicable)

• Complete the Maternity/Paternity Leave Application form as part of your application process.

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.
  
• On your first day back to work, please bring medical certification of your readiness to work.

If you have any questions

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