Leave of Absence

Voluntary Shared Leave Donation Purpose: Use this form to make a donation to the Voluntary Shared Leave (VSL) program. Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024

Paid Parental Leave Request Purpose: Use this form to request eligibility for participation in the Paid Parental Leave (PPL) program. Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024

FMLA Request (9 Month) Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 9 month employees. Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024

FMLA Request (12 Month) Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 12 month employees. Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024

Fitness for Duty Certification Purpose: Use this form to provide verification of ‘fitness for duty’ when an employee has received medical authorization to return to work (with or without work restrictions). Email Contact: benefits@charlotte.edu Last Updated: August 14, 2024