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UCLA Health Human Resources


Employee - Other Leaves

 Leave of Absence - UCLA Health Human Resources 

Step 1) Inform you 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.

Types of Leaves:

Personal Leave

Administrative Leave

Step 2) Submit your Leave of Absence Notification (LOAN).

Complete and submit your Leave of Absence Notification (LOAN) and follow as instructed. Please ensure that your LOAN is approved by your supervisor/manager and forwarded to your Workforce Administrator (WFA)/HR Representative.

Leave Without Pay

Paid Leave Checklist

Step 3) Keep in Touch.

Keep your supervisor/manager and your WFA/HR Representative informed of any changes or delays on your return date. If there is any need to extend your leave date, 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 4) 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.

UPAY 850

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