East Whittier City School District
VERIFICATION OF UNSCHEDULED ABSENCE
This verification must be completed immediately upon return from any unscheduled absence.
I was on an unscheduled absence on the following day(s):
For the following reason(s):
Medical/Illness Leave
A medical absence of more than five (5) days needs to be verified with a written statement from the attending medical doctor, and the completion of the Leave of Absence
and FMLA forms.
Family Illness
Relationship to employee
Eligible leave is available for illness of a child, parent, and spouse/registered domestic partner.
Personal Necessity
Reason
In accordance with the Education Code and the Collective Bargaining Agreement, an employee may use accumulated sick leave in cases of personal necessity for a
significant event, personal to the employee, for which leave of absence is not authorized, which under the circumstances the employee cannot reasonably be expected
to disregard and which requires the immediate attention of the employee during the assigned hours of service. The specific significant event shall be given in
writing to the administrator in charge. I hereby certify that my absence is necessary because of the reason I have stated above. Prior notice is required as referenced
in the Collective Bargaining Agreement.
Bereavement
Relationship to employee
Eligible leave is defined in the Collective Bargaining Agreement.
Personal (Unpaid)
Reason
All unpaid personal leave must be submitted to the Personnel Department for approval. Five (5) days or longer must be requested on the Leave of Absence form.
*Unpaid time could affect your service credit if you are a CalSTRS or CalPERS member.
Other
Reason
The absence meets the Ed Code/CBA guidelines
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