For sick, vacation, and personal leave, Principal/Immediate Supervisor approval required.
Family, military, professional, and political leave: both Principal/Immediate Supervisor and PRO/CAS approval required.
Section IV: the Licensed Physician's Statement is to be completed only for health leave or if sick leave is for more than five (5) consecutive work days.
Military leave: attach a copy of your military orders with this form.
Extended leave: all extended leaves must be for the SAME REASON as the original leave.
Failing to return: unless additional leave is granted, an employee who fails to return to service upon expiration of his/her leave will be terminated.
| Question | Answer |
|---|---|
| Form Name | DOE OTM 300-001 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 44 |
| Avg. time to fill out | 8 min |
| Edition | Rev 06/15/2023 |
| Issuing agency | Department of Education, Office of Talent Management |
| Matches the agency's file | Yes, checked October 7, 2026 |
| Other names | DOE OTM 300-001, DOE OTM 300 001, DOE OHR 300-001, Application for Leave of Absence Certificated School-Level Employees |
| Official source | DOE OTM 300-001 (Rev 06/15/2023), Department of Education |
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