Leading Edge Forms
Family Medical Leave (FMLA)
Forms (Required)
- Exempt employees - FMLA Request and Notice form (PDF) - FMLA Medical Certification form (PDF) - 33FMLA form (PDF)
- Non-exempt employees - FMLA Request and Notice form (PDF) - FMLA Medical Certification form (PDF) - Timecard (marked as "FMSE, FMSF, FMV, FMH, FMPH, FMPL or FMUP")
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office/HR Service Center.
Jury Duty and Witness Duty Leave
Forms (Required)
- Exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF) or Employee Self-Service (Working Time)
- Non-exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF) and Timecard
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Military Family Leave
Forms (Required)
- Exempt employees-FMLA Request and Notice form (PDF);FMLA Certification of Qualifying Exigency for Military Family Leave form (PDF) or FMLA Certification for Serious Injury or Illness of Covered Servicemember form (PDF); and 33FMLA form (PDF)
- Non-exempt employees FMLA Request and Notice form (PDF);FMLA Certification of Qualifying Exigency for Military Family Leave form (PDF) or FMLA Certification for Serious Injury or Illness of Covered Servicemember form (PDF); and Timecard
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office/HR Service Center.
Military Leave
Forms (Required)
- Exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF)
- Non-exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF) ; and Timecard
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Outside Activity Leave
Forms (Required)
- Exempt employees - President's Office Form 32A (Word) - 33ABSENCE form (Excel) or 33ABSENCE form (PDF)
- Non-exempt employees – N/A
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Paid Parental Leave (PPL)
Forms (Required)
- Exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF)
- Non-exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF) and Timecard
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office/HR Service Center.
Personal Business Day
Forms (Required)
- Exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF) or Employee Self-Service (Working Time)
- Non-exempt employees – N/A
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Personal Holiday
Forms (Required)
- Exempt employees - N/A
- Non-exempt employees – 33ABSENCE form (Excel) or 33ABSENCE form (PDF) and Timecard
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Sick Leave – (AP Staff/Faculty)
Forms (Required)
- Exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF) or Employee Self-Service (Working Time)
- Non-exempt employees – N/A
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Sick Leave – (Clerical and Service Staff)
Forms (Required)
- Exempt employees - N/A
- Non-exempt employees – 33ABSENCE form (Excel) or 33ABSENCE form (PDF) and Timecard
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Unpaid Personal Leave– (AP Staff/Faculty)
Forms (Required)
- Exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF)
- Non-exempt employees – N/A
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Unpaid Personal Leave– (Clerical and Service Staff)
Forms (Required)
- Exempt employees - N/A
- Non-exempt employees – 33ABSENCE form (Excel) or 33ABSENCE form (PDF) and Timecard
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.
Worker's Compensation Leave (Employee off work)
Forms (Required)
- Exempt employees - 33ABSENCE form (Excel) or 33ABSENCE form (PDF) (Contact the Worker's Compensation Administrator at 765-494-0306 for instructions regarding pay.)
- Non-exempt employees – Follow the instructions for either Continuous Leave Biweekly Employee or Biweekly Restricted Hours
Action Steps
Employees are required to submit a leave request using the appropriate documentation. Supervisors are required to approve leave as appropriate. All printed materials should be routed to your business office.?
