• Intermittent FMLA Request

    This form is for leave that is less than ten full consecutive days.

    Intermittent FMLA Request Form

  • Short Term Disability Form

    Complete this form to apply for Short-Term Disability. The form may be faxed to 678-301-6111 or sent through GCPS courier to the Benefits and Leave Administration Office. This form must be completed by a health care provider.

    Short Term Disability Form

  • Paid Parental Leave

    Complete this form to apply for Paid Parental Leave.

    Paid Parental Leave

  • Sick Leave Bank Withdrawal Form

    Complete this form to apply for the Sick Leave Bank.

    Sick Leave Bank Withdrawal Form

  • Family Medical Leave Act (FMLA) Form Employee Illness ONLY

    Employee Illness ONLY - Use this form to document the illness. This form needs to be completed by the health care provider.

    Family Medical Leave Act (FMLA) Form 

  • Family Medical Leave Act (FMLA) Form Family Member Illness ONLY

    Family Member Illness ONLY - Use this form to document the employee's family members' illness. This form needs to be completed by the health care provider.

    Family Medical Leave Act (FMLA) Form

  • FMLA Military

    Use this form for certification of qualifying Exigency for Military Family Leave.

    FMLA Military

  • FMLA Injury Illness Military

    Use this form for certification for serious injury or illness of covered Service member for Military Family Leave.

    FMLA Injury Illness Military

  • Leave of Absence FAQ

    Leave of Absence Frequently Asked Questions.

    Leave of Absence FAQ

  • Student Forms to Return at Open House - Our Lady of Hope Catholic School