Leave Of Absence (LOA)

Leaves of Absences


    Employee Leave of Absence Request Instructions

    When an employee anticipates being absent or has been absent ten (10) or more consecutive workdays, Fort Worth ISD requires the submission of a Leave of Absence (LOA) Form.

     LOA Submission Process:

    1. The employee shall obtain a LOA Form via this link. 
    2. The employee shall complete, indicate effective date of leave and sign the LOA Form.
    3. The employee shall have the attending physician complete, indicate the period of incapacity and sign the Medical Certification Form. NOTE: Medical Certification Forms not signed by the physician or not indicating the period of incapacity will not be processed.
    4. The employee shall submit the LOA Form and applicable Medical Certification Form via email to emp.services@fwisd.org. 


     *Leaves are processed as quickly as possible. However, please note Employee Services will not process a LOA request without all required documents.


    Click on the link below for the appropriate medical certification form:

    a.) Employee's Serious Health Condition (Form WH-380-E) (includes maternity)

    b.) Family Member's Serious Health Condition (Form WH-380-F)

    c.) Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (Form WH-385)

    d.) Certification of Qualifying Exigency for Military Family Leave (Form WH- 384) (This form does not need to be completed by a healthcare provider)


     Reporting Leaves and Absences

    Employees must follow District and department/campus procedures to report/request any leave and as appropriate complete the LOA Form.  Employees must report all leaves and absences on the automated absence reporting system. Please do not automatically request a substitute.  Check with your supervisor if a substitute is required for your position. In addition to calling the automated absence reporting system, you must also notify your immediate supervisor as soon as you are aware of the absence.