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Leaves of Absence

Contact Information

Leaves of Absence EmailHR_Leaves@4j.lane.edu

Leaves of Absence Fax Line: (541) 790-7680 – This fax is confidential and information sent to this fax is only accessible to the leave processing team within the Human Resources Department.

Leave of Absence Request Forms

Medical Leave of Absence Packet = Leave to care for one’s own serious health condition.

Family Medical Leave of Absence Packet = Leave to care for an immediate family member who has a serious health condition.

Non-Medical Leave of Absence Packet = All leave types not pertaining to medical necessity. This includes bereavement leave, personal leave, part-time leave, professional leave, parental leave (to care for your newborn child, newly adopted child, or to provide foster care),  and all other leaves allowed under the District/EEA Bargaining Agreement, the District/OSEA Bargaining Agreement, or the District/4JA Statement of Understanding.

Unpaid Days

Leave Request for Unpaid Days = Unpaid leave equal to or less than five (5) workdays in length.

  • Note: if you are requesting a leave longer than five (5) workdays, you will need to complete one of the regular leave forms listed in the previous section above.

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