Military Leave of Absence Request Form

Military Leave Paid Leave for Military Service. Any employee who is a member of the Texas National Guard, Texas State Guard, reserve component of the United States Armed Forces, or a member of a state or federally authorized Urban Search and Rescue Team is entitled to paid leave when engaged in authorized training or duty orders by proper authority. Paid military leave is limited to 15 days each fiscal year. In addition, an employee is entitled to use available vacation or state and local sick or personal leave during a time of active military service. The district cannot require the use of accumulated leave. Prior to claiming military leave the employee must complete a Leave of Absence Request form and then present the complete form along with authorized training or duty orders from the appropriate authority to the Office of Human Resources.

Employee #*

Location*

Select

Last Name*

First Name*

Phone Number*

Phone

Alternate Phone Number

In the event we need to reach you during your military leave. Please list a phone number we can use.

Phone

Job Title

Supervisor

Employee Email*

Alternate Email

Date Leave to Begin*

Anticipated Return to Work Date*

Accumulated Leave:*

Paid military leave is limited to 15 days each fiscal year. An employee is entitled to use available vacation or state and local sick or personal leave during a time of military service. The district cannot require the use of accumulated leave.

I would like to use my Accumulated Leave

I do NOT want to use my Accumulated Leave.

Reason for leave

Please upload military orders here

Drag and drop files here or

Send me a copy of my responses

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