UCLA Campus    |   UCLA Health    |   School of Medicine Translate:
UCLA Health It Begins With U

UCLA Health Human Resources


Employee - Military Leave Entitlement – Qualifying Exigency

 Leave of Absence - UCLA Health Human Resources

Military Leave - Qualifying Exigency

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 Military Leave Entitlement Leave of Absence Packet- Qualifying Exigency

Print and complete the employee section in the Leave of Absence packet and have your physician complete the Declaration of Relationship and Health Care Provider Certification (This form should be completed and returned within 15 days, if unable to do so please contact your 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 HR Representative/WFA.

Step 3) Complete 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.

•§  Family and Medical Military Leave Entitlements

Step 4) Stay in Touch.

Keep your supervisor/manager 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 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 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 to work to re-enroll by submitting a UPAY-850 to your Benefits Analyst.

UCLA Rated One of the Top Hospitals in the Nation