Catastrophic Illness or Injury Leave
Applying for Catastrophic Illness or Injury Leave
The Process
Applying for Catastrophic Illness or Injury Leave Flowchart
The Forms
- Your Rights Under FMLA
- Extended Leave Information
- Eligibility Checklist for Recipient
- Catastrophic Leave Recipient Application
- Catastrophic Leave Donation Form
- Catastrophic Leave Program Directive
- Form A + Employee-Certification of Health Care Provider
- Form A + Family-Certification of Health Care Provider
- FMLA Form WH-385 Illness or Injury of Covered Service Member – for Military Family Leave
- Return to Work: Administration
These leaves are applied for and approved in the Human Resources Leaves Office, 6400 Uptown Blvd. NE, Suite 210 East.
All paperwork must be original. No third party faxes.
Definition:
“Catastrophic illness or injury” means an illness or injury which results in the employee requiring a level of care and treatment beyond what he or she could provide without assistance.
Who is eligible?
Employees designated as CSE, CSN, ESE, ESN, FSN, MSE, MSN, PSE, PSN, SPE, and Management/Technical Support are eligible to donate to this program or receive from this program.
APS Medical Leaves of Absence
To be eligible for an APS extended medical leave of absence, an employee must have worked for APS a minimum of one contract year just prior to the leave start date.
Family and Medical Leave Act (FMLA)
Family and Medical Leave Act (FMLA) will be granted to employees who:
- Have worked for APS for at least twelve (12) months and
- Who have worked at least 1250 hours in the previous 12 months
- FMLA is limited to 12 weeks of unpaid leave per rolling calendar year.
For purposes of this procedural directive, an employee who is covered by a negotiated agreement (ATF, AEAA, ASCA, CWA M&O, EPOA, CWA Food Services) is NOT eligible.
Extended Leaves Policy
All leaves of ten (10) consecutive work days or less must be requested through and approved by the employee’s principal or supervisor.
Extended leave of more than ten (10) consecutive days, with or without pay, must be requested through the Human Resources Leaves Office. Employees must complete the required Leave Forms and receive the necessary approval before the leave requested may be taken.
When an employee becomes ill or is injured on the job, sick leave begins at the time of inability to continue work, to the nearest half-hour. An employee, who is already on annual leave, personal leave or leave without pay, including parental leave, may not be eligible to use sick leave benefits.
While on an approved leave, the employee:
- may not volunteer or perform any duties for the APS District
- May not utilize APS property for personal use
- Must turn in all APS equipment (keys, laptop, etc.) prior to the start date