Form 4559 PDF Details

In any organization, managing employee leave is a necessary but sometimes complex task, requiring clear documentation and adherence to both policy and legal obligations. For employees of The School Board of Broward County, Florida, navigating leaves of absence involves the utilization of Form #4559. This specific form caters to various types of employees within the district, including administrators, instructional staff, and non-instructional personnel, offering a structured way to request different kinds of leave, such as maternity, personal, child-rearing, professional enhancement, and military leave. An essential requirement for instructional employees seeking personal leave is having at least three years of employment within Broward County, while those aiming for professional enhancement leave must meet the same tenure requirement. The form mandates the attachment of relevant documentation based on the type of leave requested, such as a doctor's note for maternity leave or a copy of the child’s birth certificate for child rearing leave. Additionally, it highlights specific conditions under policy 4409 and the Collective Bargaining Agreement regarding employment during a leave period. With spaces to fill in personal information, reasons for the leave, and official use only fields like approval status and previous leaves, Form #4559 is comprehensive, ensuring all parties are informed and the process follows district policies to the letter.

QuestionAnswer
Form NameForm 4559
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbroward leave absence, fl request approved leave, fl approved leave, board approved leave

Form Preview Example

THE SCHOOL BOARD OF BROWARD COUNTY, FL

REQUEST FOR A BOARD APPROVED LEAVE OF ABSENCE

TYPE OF EMPLOYEE:

 

ADMINISTRATOR

 

INSTRUCTIONAL

 

 

NON-INSTRUCTIONAL

 

 

 

 

 

 

 

 

 

Name

 

 

 

Last Four Numbers SSN

 

 

Personnel Number

Address: Street, City, State, Zip Code*

*Mailing Address - If your address has changed, access Employee Self Service (ESS) to update your address.

Area Code & Telephone Number (Home & Cell)

Position Title (Subject/Grade, if applicable)

 

 

 

 

 

E-mail Address

Location Name & Location Number

 

 

 

I wish to request a leave of absence for the

school year effective at the close of work

on

.

 

 

TYPE OF LEAVE REQUESTED:

MATERNITY (Attach doctor's note)

PERSONAL (Indicate reason below)

An Instructional employee must have three (3) or more years of employment in Broward County to be eligible for Personal leave.

An Instructional employee who took two (2) years of Leave of Absence and returned to work is not eligible for a new leave during the subsequent school year.

CHILD REARING

(Attach a copy of child's birth certificate)

PROFESSIONAL ENHANCEMENT

Instructional Employee Only - Must have three (3) or more years of employment in Broward County.

MILITARY

(Attach notice to serve papers)

WORK AT A BROWARD COUNTY CHARTER SCHOOL

Name of School:

(Your Employment With This School Will Be Verified)

All leaves granted at the request of an employee shall be for a particular purpose or cause. My reason(s) for requesting this leave is:

According to Policy 4409, "An employee on personal leave may not be employed in any capacity other than as a substitute, a temporary part-time employee in the District, or as an employee at a Charter School."

In accordance with the Collective Bargaining Agreement between the District and the Broward Teachers Union, Article 23, Section L, an instructional employee may be employed in a teaching position outside of the District while on leave.

I am aware that I may be eligible to apply for Family/Medical Leave (FMLA).

Employee's Signature

Date

Administrator's Signature

Date

If an Instructional employee, is the teacher in documentation or were you going to place the teacher in documentation?

 

 

OFFICE USE ONLY (LEAVES DEPT.)

 

 

Approved:

Denied:

 

 

 

 

Certification Expiration:

Employment Date:

 

 

Contract Status:

Previous Leaves:

 

 

Location's Leave Position Number:

Last Duty Date:

 

 

Form #4559 Rev. 10/14

 

 

 

 

 

 

 

 

Leaves Department

 

 

 

 

 

 

 

Submit the original to the Leaves Department. Retain a copy at your location.

How to Edit Form 4559 Online for Free

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It's simple to finish the pdf with this practical guide! Here is what you should do:

1. Begin filling out the board approved leave with a selection of essential blanks. Consider all the necessary information and be sure not a single thing neglected!

Completing segment 1 of broward county leaves department

2. After the previous part is complete, you have to add the essential specifics in PERSONAL An Instructional employee, CHILD REARING Attach a copy of, MILITARY Attach notice to serve, PROFESSIONAL ENHANCEMENT, WORK AT A BROWARD COUNTY CHARTER, All leaves granted at the request, According to Policy An employee, I am aware that I may be eligible, Employees Signature Date, and Administrators Signature Date so you're able to go to the next stage.

PROFESSIONAL ENHANCEMENT, Employees Signature Date, and According to Policy An employee in broward county leaves department

As to PROFESSIONAL ENHANCEMENT and Employees Signature Date, make certain you don't make any errors in this section. Those two are surely the most important ones in this document.

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