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Saint Paul Public Schools, District 625
360 Colborne Street
Saint Paul
MN
55102

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Leave of Absence Forms

Leave of Absence Forms

Leave of Absence eForm

The leave of absence form is now located in Employee Self Service.

You can access Employee Self Service from Payroll Home Page on the district website.  Below you will also find a How to Submit Help Sheet

http://www.spps.org/payroll

Employee's Guide to Taking a Leave of Absence 2023-2024

Leave of Absence eForm How to Submit Help Sheet

Leave of Absence eForm How to Submit Help Sheet

Other Leave of Absence Forms

The forms below are PDF fillable forms:

  1. Download the form to your computer
  2. Fill out the form, save
  3. Email forms to benefits@spps.org 

For questions or further information contact Benefits

Report of Workability Form

Report of Workability Form

The purpose of this form is to provide the employee and employer with information about the employee's work restrictions (if any) upon returning to work.

FMLA Fact Sheet

FMLA Fact Sheet

 This fact sheet provides general information about which employers are covered by the FMLA, when employees are eligible and entitled to take FMLA leave, and what rules apply when employees take FMLA leave.

FMLA Certification of Healthcare Provider for Employee's Own Health Condition (includes Pregnancy)

Use this form to have your health care provider establish a patient or family member's medical condition that requires FMLA-protected Leave

FMLA Certification of Healthcare Provider for Family Member w/Health Condition (parent/child/spouse)

FMLA Certification of Healthcare Provider for Family Member w/Health Condition (parent/child/spouse)

Use this form to provide sufficient medical certification to support a request for FMLA leave to care for a covered family member with a serious health condition.

FMLA Certification of Healthcare for Care of an Injured Service Member

FMLA Certification of Healthcare for Care of an Injured Service Member

Use this form to provide sufficient certification to support a request for FMLA leave due to a serious injury or illness of a servicemember.

FMLA Certification for Family Military

FMLA Certification for Family Military

Use this form for eligible employees who have a "Qualifying Exigency" arising out of the foreign depolyment of the employee's spouse, son, daughter or parent.

FMLA Certification of Healthcare for Caregiver for Veteran

FMLA Certification of Healthcare for Caregiver for Veteran

Expectant - Nursing Mothers Fact Sheet

Expectant - Nursing Mothers Fact Sheet

Sabbatical Leave Information

Sabbatical Leave Information

Use this form to apply for a Sabbatical Leave