4.090 - Leave of Absence Without Pay

Effective Date: 9/18/2013

4.090-POL

This policy applies to employees requesting a leave of absence without pay.

1. Employees May Request an Unpaid Leave of Absence for Personal or Medical Reasons

Employees may refer to City Personnel Rule 7.3-Leave of Absence for definitions and application.

Employees may request an unpaid "Leave of absence for medical reasons" for up to 12 months while recovering from their own personal illness or injury.

  • Employees must use their unpaid Family and Medical Leave entitlement before applying for an unpaid leave of absence for medical reasons.

Employees may request an unpaid "Leave of Absence for Personal Reasons" for up to 12 months for reasons other than recovering from their own illness or injury or after they exhaust their FMLA entitlement.

See 4.090-PRO-1 Employee Requesting Personal Leave of Absence and 4.090-PRO-2 Employee Requesting Medical Leave of Absence

2. Eligible Employees May Buy Back Retirement Service Credit for Unpaid Medical Leave of Absence

LEOFF II members may contact DRS (Department of Retirement Systems) at 360-464-7000 or toll free at 1-800-547-6657; pressing “0” to speak with a live representative.  Sworn employees may view the Department of Retirement Systems policy from this link:  http://www.drs.wa.gov/

Civilian employees may contact SCRS (Seattle City Employees’ Retirement System) at 206-386-1293.  Non-Sworn employees may view the Seattle City Employees’ Retirement System policy from this link:  www.seattle.gov/retirement/

4.090-PRO-1 Employee Requesting Personal Leave of Absence

Employee

1. Submits Employee Request for Leave of Absence (form 2.9) to sergeant/supervisor.

Sergeant/Supervisor

2. Sends the completed form through the chain of command to the Human Resources Director.

Human Resources Director

3. Informs the employee if the leave is approved or denied.

4.090-PRO-2 Employee Requesting Medical Leave of Absence

Employee

1. Submits the Employee Request for Leave of Absence (form 2.9) and an Insurer Activity Prescription Form (APF) to the Family and Medical Leave coordinator in the Human Resources Section.

Human Resources Director

2. Informs the employee if the leave is approved or denied.

Police

Adrian Diaz, Chief of Police
Address: 610 5th Avenue, Seattle, WA, 98104-1900
Mailing Address: PO Box 34986, Seattle, WA, 98124-4986
Phone: (206) 625-5011
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