Leaves of Absence FormYou must have JavaScript enabled to use this form.Indicates required field Name:Email Address:Department/Unit:Add Employee ID:Chair/Director Name:Note: If rostered to more than one department, information for both chair's is requiredChair/Director (Split appointment/Institute/Center):Type of Leave Requested: Leave Without Pay Parental Sick OtherLeave Without Pay Type: Working with Industry Personal Reasons Medical situations where all other leaves are exhaustedPercent of Leave: Release from teaching Release from service Release from research Full leaveChose one or a combination of release type(s) requested. Full leave (100%) is a release from all duties.Dates of Leave Requested:Either an entire semester or specific dates during a semester.
