Request for Leave (Business Office form)

PETALUMA CITY SCHOOLS

BUSINESS OFFICE REQUEST FOR LEAVE

Request for Leave Form Procedures

Classified employees only Use to schedule vacation time and receive supervisor's approval prior to the beginning date Original form to remain at work site

Personal Necessity Leave All Employees should refer to their bargaining unit contract for specific, expanded language regarding the use of Personal Necessity Leave Certificated Employees: stated reason required for use of days 6-10, or use of 4 or more consecutive days Classified Employees: to be used for personal or professional need, not for recreational purposes, vacation travel, or that which is related to activity for which the employee may receive additional remuneration Original form to remain at work site

Use to request school business leave and receive supervisor's approval prior to the date Original form to remain at work site

Personal Reasons (Unpaid) All Employees should refer to their bargaining unit contract for specific, expanded language

Reporting of Absences Vacation, Personal Necessity, School Business All Certificated and Classified Employees must report all absences, including all partial-day absences If you do not report absences through Subfinder, you must complete a Report of Absence of Personnel (PB8) form

Type of Leave Requested:*

Vacation (Classified employees only; prior approval required)Personal NecessitySchool Business (submit form five days in advance of event)Personal Reasons (leave without pay may have a negative affect on retirement service credit)Sick Leave (i.e. doctor appointment)

Employee Name*

Email*

example@example.com

Site:*

District Department*

Business Department*

Maintenance Department*

Signature Sign (Select Type to type in electronic signature)

Date*

Date

Requested Leave Dates:

From*

Date

Through*

Date

Total DaysHours*

*Partial days (less than 8hrs), please add time of leave request: From Time Through Time

Reason for School Business Leave:

Substitute Needed?*

YesNo

Bill to

Budget Number

Supervisor Approval/Disapproval:

YesNo

Signature Sign (Select Type to type in electronic signature)

Date

Request for Personal Reasons (Unpaid) Leave: Please submit a separate written request to the Director of Human Resources. Include the beginning date, ending date, and specific reason(s) for the leave of absence.