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Employee - Pregnancy Disability

 Leave of Absence - UCLA Health Human Resources

Pregnancy Disability

Step 1) Inform your department head, manager or supervisor about taking a leave of absence as soon as possible

Please notify your department head, supervisor or manager of your leave request 30 days prior to your anticipated leave begin date, or as soon as reasonably possible. It's best to do this as soon as your need for a leave arises, so your department can plan your absence. Try to be as specific as possible about the length of time and reasons for the leave of absence.

Step 2) Complete your Pregnancy Disability Leave of Absence Packet

Print and complete the employee section in the Leave of Absence packet and have your physician complete the Health Care Provider Certification (This form should be completed and returned within 15 calendar days, if unable to do so please contact your LOA Analyst with the reasons for the delay & the date the certification will be provided). This packet should be completed when you meet with your LOA Analyst.

Step 3) Submit your Leave of Absence Notification (LOAN).

Complete and submit your Leave of Absence Notification (LOAN) and follow as instructed. This leave may be taken in an intermittent or reduced schedule basis. If you choose to take an intermittent or reduced schedule leave, click here for further instructions. Please ensure that your LOAN is approved by your supervisor/manager and forwarded to your Workforce Administrator (WFA)/HR Representative.

Step 4) Stay in touch

Keep your supervisor/manager and LOA Analyst informed of any changes or delays on your return date.

Enroll your newborn in your insurance plan(s) by completing and submitting the UPAY 850 form within 31 days from the baby's birth.

If there is any need to extend your leave, you must inform your supervisor/manager and LOA Analyst immediately by submitting a doctor's note that states your new anticipated return to work date.

Step 5) Returning to Work

Submit your Return to Work Certification form to your supervisor/manager and LOA Analyst on your first day back from work. If you cancelled your benefits when you were on Leave, you have 31 days from your return date to work to re-enroll by submitting a UPAY-850 to your Benefits Analyst.

  •   UPAY 850 (R10/15) University of California Human Resources

    Step 6) Additional Information -Find Childcare

    Most UC faculty and staff have free access to Bright Horizons Care Advantage and its Sittercity database of childcare resources. Whether you need full-time care or back-up care in an emergency, you may be able to find the person you need using Sittercity. UC gives you free access; then you find the caregiver and make arrangements for care and payment.

    Step 7) Resources for mothers that are nursing

    UC Promotes a family-friendly work environment and that includes support of breastfeeding mothers. The University makes available private space for lactation purposes and will provide lactation break time for nursing mothers. 

    Westwood Campus: Download Map (PDF) 

    Murphy Hall, Room A-279
    Student Activities Center (SAC) B-level
    Franz Hall (Second Building), Room 1268
    Wilshire Center, 11th floor, Room 1190
    Rehab Building, Room A378
    Care Connect Train Station, 936 Westwood Blvd., 1st Floor
    Jules Stein, Room 13-245 JSEI
    Ronald Reagan UCLA Medical Center, Room B706
    CHS, Room 33-337
    CHS, Room 17-311

    Santa Monica Campus:

    UCLA Medical Center, Santa Monica, Merle Norman Pavillion, Room 2448

    For assistance with lactation room location and access, contact breastfeedingsupport@mednet.ucla.edu



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