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Employee - Military Leave Entitlement – Military Caregiver

 Leave of Absence - UCLA Health Human Resources

Military Leave - Military Caregiver

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 or 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 Military Leave Entitlement Leave of Absence Packet-Military Caregiver.

Print and complete the employee section in the Leave of Absence packet and have your service member's physician complete the Declaration of Relationship and Health Care Provider Certification (This form should be completed and returned within 15 calendar days, if unable to do so please contact your WFA/HR Representative with the reasons for the delay & the date the forms will be provided). This packet should be completed when you meet with your WFA/HR Representative.

You may be required to provide certain information establishing that the service member is a covered service member for purposes of Military Caregiver Leave or confirmation of a covered family relationship between the employee and the service member.

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 WFA/HR Representative informed of any changes or delays on your return date. If there is any need to extend your leave, you must inform your supervisor/manager and WFA/HR Representative 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 WFA/HR Representative 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.

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