Leave of Absence Forms

Choose one form below based on your union 

Choose one form below for the physician to complete

If you would like to apply for a Leave of Absence you must complete one of the above Leave of Absence Forms and a Certification of Health Care Provider Form.  Please send all request to the Human Resource Department.  

If you have any questions please feel free to contact the following:

Marge Breeding
Administrative Assistant for Leave of Absences
734-374-1200 EXT: 10128