Leave of Absence and Disability


CSUCI  has a variety of paid and unpaid leaves of absence for employees.  

Process: Submit a Leave of Absence Request to your appropriate administrator for any paid or unpaid leaves and all medical absences beyond 5 work days. Please provide as much notice as possible. After all department signatures are acquired, the form is submitted to Human Resources Management for approval.  


Employees are advised to meet with Benefits prior to taking a medical/disability leave. In certain situations, medical certification is required, with different forms required for your own medical condition, work restrictions and accommodation requests, or the care of a qualified family member. Any changes to an approved leave require additional approvals.  


The following forms are located under the Attachments section in the lower right corner of this service page.

  • Leave of Absence Request Form 
  • Time and Attendance Report 

Request Assistance

Use the "Submit HR Ticket" button to speak with an HR Leave of Absence Administrator.

Submit HR Ticket


Service ID: 49609
Tue 3/23/21 5:56 AM
Wed 5/26/21 1:36 PM