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UCLA Health Human Resources


HR Rep - Work Related Injury or Illness

Leave of Absence - UCLA Health Human Resources

Meeting with employee:

  • Complete and provide Notice of Eligibility and Rights and Responsibilities to employee.
  • Educate employee on FMLA for own serious health condition.
  • Qualify employee for FMLA eligibility.
  • Complete and provide Designation Notice to employee.
  • Review employee accrual balance and refer to workers' compensation supplemental pay options.
  • Verify contact & email address information.
  • Inform employee about direct payment responsibilities and all payroll deductions affected by his/her leave. 
  • Provide employee with disability contact.
  • Process leave in EDB as soon as approved LOAN and medical certification are submitted.
  • Forward completed LOAN to manager/supervisor or designee.
  • Provide initial time recording instructions to employee's manager/supervisor or refer manager/supervisor to Workers' Compensation Unit for more detailed instructions.

While Employee is on leave:

  • Update LOAN as necessary.
  • Update EDB as necessary.
  • Submit all extensions/corrections to disability unit analyst by copying them on ALL PANS.

When Employee Returns from Leave:

  • Confirm with manager/supervisor employee's return to work date.
  • Request for Return to Work Certification from employee or manager/supervisor if you did not receive it.
  • Update EDB if necessary.
  • Notify Benefits Analyst of employee's return to work via e-mail.
  • Remind employee to re-enroll for benefits if cancelled while on leave.
  • Remind employee to contact Retirement Analyst regarding buy-back of service credit for Leave Without Pay.
  • Instruct employee to contact Department Parking Coordinator or provide with new Parking Authorization form as appropriate.
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