Please complete the following request for a Leave of Absence. If you have multiple leave requests, you will be asked to complete this survey multiple times. Be advised that your medical documentation may be referred to County Personnel who administer FMLA, Workers' Compensation, ADA, Short Term Disability or Long Term Disability.
Human Resources Leave Administration may be contact by email at email@example.com or by phone at 520-724-8076.
A Note on FMLA
You may be eligible for Family and Medical Leave Act (FMLA).FMLA is the federal law that requires employers to provide eligible employees with up to twelve (12) workweeks of unpaid, job-protected leave in a 12-month period for qualifying family and medical reasons. It is the policy of Pima County to comply with the provisions of the FMLA and the relevant regulations. HR-FMLA is responsible for processing all requests for FMLA related leaves for Pima County Departments, with the exception of the judicial departments.
Employees are eligible for FMLA if they have been employed by Pima County for at least one year and worked a minimum of 1,250 hours in the previous 12 months. For additional information see the Employee Rights and Responsibilities notice, Employee's Guide to the FMLA and Pima County Administrative Procedure 23-37.