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How do I fill this out?

To fill out this document, begin by carefully reviewing the type of leave you are applying for and the associated guidelines. Collect any necessary documentation that supports your leave request. Finally, submit the completed form to your Program Director for approval.

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How to fill out the Prisma Health Team Member Leave of Absence Policies?

  1. 1

    Review the type of leave you are eligible for.

  2. 2

    Collect necessary supporting documentation.

  3. 3

    Fill out the leave application form accurately.

  4. 4

    Submit the completed form to your Program Director.

  5. 5

    Await confirmation of your leave approval.

Who needs the Prisma Health Team Member Leave of Absence Policies?

  1. 1

    Residents and fellows seeking leave for medical reasons.

  2. 2

    Team members needing personal time off for family responsibilities.

  3. 3

    Employees attending court for jury duty.

  4. 4

    Individuals in military service requiring a leave of absence.

  5. 5

    Staff planning to pursue educational development away from the program.

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What are the important dates for this form in 2024 and 2025?

Important dates for submitting leave requests for the following year need to be planned in advance. Ensure to check specific guidelines for each leave type. All leave requests should be submitted promptly to ensure timely processing.

importantDates

What is the purpose of this form?

The purpose of this form is to provide a structured process for residents and fellows at Prisma Health to apply for various leaves of absence. Clear guidelines allow team members to understand their rights and responsibilities while ensuring compliance with relevant policies. Proper usage of this form is essential for effective leave management and continuity of care.

formPurpose

Tell me about this form and its components and fields line-by-line.

The form includes various fields necessary for leave requests.
fields
  • 1. Type of Leave: Specifies the type of leave being requested.
  • 2. Reason for Leave: Details the specific reason for the leave request.
  • 3. Start Date: Indicates when the leave will commence.
  • 4. End Date: Indicates when the leave will conclude.
  • 5. Supporting Documents: A section for listing any required supporting documentation.

What happens if I fail to submit this form?

Failure to submit this form may result in unauthorized absences and potential disciplinary actions. It is crucial to file requests for leaves of absence in a timely manner to avoid any adverse effects on your standing within the program.

  • Disciplinary Actions: Not submitting the form could lead to consequences regarding your employment status.
  • Impact on Training: Unsanctioned absences may affect your training progression and completion.
  • Loss of Benefits: Failure to properly document your leave may jeopardize your eligibility for certain benefits.

How do I know when to use this form?

Use this form when you need to request a leave of absence for any qualifying reason as outlined in the Prisma Health policies. It is essential for compliance with institutional guidelines and ensures proper documentation of your leave. Submitting this form helps to manage your responsibilities and ensure proper planning.
fields
  • 1. Medical Leave: Requesting leave due to illness or medical condition.
  • 2. Educational Leave: Seeking absence for personal educational development.
  • 3. Military Leave: Applying for leave due to military service obligations.
  • 4. Personal Leave: Taking time off for personal reasons or family care.
  • 5. Jury Duty: Requesting leave to fulfill civic duties as a juror.

Frequently Asked Questions

What types of leaves are included in this policy?

The policy covers various leaves including jury duty, military leave, personal leave, and educational leave.

How do I know if I am eligible for FMLA?

You are eligible for FMLA if you have worked for 12 months and clocked at least 1,250 hours.

Can I edit my leave request once submitted?

You should contact your Program Director to discuss any changes to your leave request after submission.

What documentation is needed for medical leave?

Supporting medical documentation must be submitted alongside your leave request for medical leave.

How soon should I submit my leave request?

It is recommended to submit your leave request at least 60 days in advance.

What happens if my leave request is denied?

If your leave request is denied, you will receive a notification and can discuss alternatives with your Program Director.

Is military leave fully paid?

Military pay will be supplemented by Prisma Health for eligible individuals during their absence.

How long can I take educational leave?

Educational leave can be taken for a duration of up to one year.

Can I receive additional training during my leave?

Yes, additional training may be required to meet certification requirements depending on your leave.

Where can I find the FMLA policy manual?

The FMLA policy is detailed in the Prisma Health policy manual available to all team members.

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