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To apply for a medical leave of absence without pay, you must complete the FMLA application form. See the chart below for information about the supporting documentation required. When applying please ensure the following:
**Important: Non-supervisory pedagogical employees applying for non-medical leaves should use the Self-Service Online Leave Application System.Below is a chart showing required supporting documentation based on employee FMLA leave type:
Fax your completed applications to HR Connect: (718) 935-4350
*Important: Non-supervisory pedagogical employees applying for non-medical leaves and medical leaves should use the Self-Service Online Leave Application System.When the leave is processed, you will receive a determination letter in the mail. If you have more questions, please call HR Connect at (718) 935-4000.There are two additional categories of leaves of absence without pay, medical and non-medical, which are available to eligible employees who do not have a FMLA-qualifying event or are otherwise ineligible for a FMLA leave, or who need to remain on leave longer than the 12 weeks allowed by FMLA.