Lausd Non Illness Form

Lausd Non Illness Form - Los Angeles Unified School District CERTIFICATION AND OR REQUEST OF ABSENCE FOR NON ILLNESS EMPLOYEE INFORMATION Please Print REASON FOR ABSENCE 1 1 Check one New absence Extension of ongoing absence 2 Starting date of absence Last date of absence expected Mo Day Yr Mo Day Yr 3

This page contains helpful materials such as information regarding absence and or leave types that may authorize you to be absent from work links to payroll forms used for requesting time off of work summary information by Collective Bargaining Agreement regarding Personal Necessity Kin Care and Bereavement as well as practical tools and r

Lausd Non Illness Form

Lausd Non Illness Form

Form No. 60.ILL; Reissued 9/14/2020 I . L. L. N. E. S S. Los Angeles Unified School District . CERTIFICATION/REQUEST OF ABSENCE FOR ILLNESS, FAMILY ILLNESS, NEW CHILD EMPLOYEE INFORMATION (Please Print) Last Name First Name M.I. Employee No. Work Location Name Job Title Substitute/Temporary. Yes No . Employee's Telephone ( ) REASON FOR AB ...

Los Angeles Unified School District CERTIFICATION AND OR REQUEST OF ABSENCE FOR NON ILLNESS EMPLOYEE INFORMATION Please Print REASON FOR ABSENCE Starting date of absence Last date of absence expected Mo Day Yr Mo Day Yr Total time expected of absence days hours

Attendance Employee Absent Los Angeles Unified School District

Mo Day Yr Total time expected of absence days hours NOTE This form does not supersede or replace the Leave of Absence Request Form PC Form 5006 or HR Form 1065 when required Select the appropriate type of absence Accident or Imminent Danger to My Person Property see rule1

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Title Absence Certification Request Illness Reissued 2020 09 14 Author Gonzalez Oscar Last Modified 8 15 2023 10 25 AM

Span Class Result Type

LOS ANGELES UNIFIED SCHOOL DISTRICT POLICY BULLETIN BUL 6307 5 Accounting and Disbursements Division Page 5 of 8 April 2 2018 Records substantiating the time reported to the Payroll Administration Certification and or Request of Absence for Non Illness Form No 60 NON ILL Revised 10 1 2017 Utilization of the revised certification forms

LAUSD Employee Benefits Discounts 2023

No resource specified BUL 6307 5 Certification of Absence Forms Bulletins Download 6307 5 Certification of Absence Fo 299 KB BUL 6307 5 Certification of Absence Forms

Certification of Health Care Provider (LAUSD Form 8239) is not attached but will be mailed separately within 15 days ... NON-DISABILITY (UTLA: XII,10; AALA: XI,7) This is an unpaid leave. Submit Form # 8239 "Certification of Health Care Provider" confirming circumstances involving request for ... LOS ANGELES UNIFIED SCHOOL DISTRICT

Los Angeles Unified School District

NOTE This form does not supersede or replace the Leave of Absence Request Fo rm PC Form 5006 or HR Form 1065 when required 4 Select appropriate type of leave The following types of absence may qualify for protection under the Family and Medical Leave Act FMLA and or the California Family Rights Act CFRA

Lausd Non Illness Form

No resource specified BUL 6307 5 Certification of Absence Forms Bulletins Download 6307 5 Certification of Absence Fo 299 KB BUL 6307 5 Certification of Absence Forms

This page contains helpful materials such as information regarding absence and or leave types that may authorize you to be absent from work links to payroll forms used for requesting time off of work summary information by Collective Bargaining Agreement regarding Personal Necessity Kin Care and Bereavement as well as practical tools and r

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