Medical Leave

A medical leave of absence is taken for your own illness or injury (non-work related). A leave of absence request is required if you will be away from work for four or more consecutive business days.

See the Frequently Asked Questions (FAQs) to the right for detailed information about your disability leave benefits and what to expect.

Required Documents (Forms)

There are specific forms and/or documentation required by the Company or Federal law to be approved for a leave of absence. Depending on your leave type, your doctor may be required to provide information.

Begin this process as soon as possible to avoid delays in payment and/or approval for leave.

Forms for Medical Leave (Company Benefits)

Certification of Health Care Provider for Employee’s Serious Health Condition.
Download Form

UNUM Claim Form (Only for Hourly Employees)
Download Form

Unum Direct Deposit Form (Only for Hourly Employees)
Download Form

Forms for Medical Leave (Union Benefits)

Certification of Health Care Provider for Employee’s Serious Health Condition.
Download Form

What’s Next?

Submit your request for leave in Workday.
Login Go to the Request Absence taskSubmit request and attach required forms (if available at this time)

Employee Hub will guide you through your leave of absence, handled with confidentiality, from beginning through your return to work. Once your leave is approved, your manager and HR Team will be notified that you’ve been approved for a leave of absence and the timeframe of the approved leave.


Did you know most benefits-eligible employees have access to Short-Term & Long-Term Disability benefits?

Go to Supplemental Protection Benefits

If you need help paying for costly prescription medications, the Company’s Pharmacy Drug Grant Program is here for you. The award of this grant is $2,000, learn more about the Pharmacy Drug Grant Program:

Go to the Pharmacy Drug Grant Program

NEED HELP?

EMPLOYEE HUB
Email: [email protected]
Phone: 1-800-303-0408

SHORT-TERM DISABILITY LEAVE

Read FAQs

What Happens to Benefits After Six Months on Disability Leave?
Learn More

How to Submit a Unum Short-Term Disability Claim?
Learn More

LONG-TERM DISABILITY LEAVE

UNUM RESOURCES

UNUM CLAIM FORM
Download

UNUM DIRECT DEPOSIT FORM
Download

Need Help? Reach out to Employee Hub

Phone: 1-800-303-0408 | Email[email protected]