Non Clinical Faculty Leave Request Non Clinical Faculty Leave Request Form "*" indicates required fields Leave InformationName* First Last Email* UFID*Leave Start Date* MM slash DD slash YYYY Date Returning to Work* MM slash DD slash YYYY Total Number of Hours Requested*Select Type of Leave:*SickVacationFMLAAcademicJury DutyIf this is a regarding a new FMLA event that has not been approved, please submit the initial intake form at https://benefits.hr.ufl.edu/time-away/fmla/fmla-preliminary-request-form/ Academic Leave InformationSelect Type of Academic Leave:N/AAcademic Conference/MeetingMeeting with State or Federal GovernmentGranting Agency Study SectionOtherWill the conference require a division reimbursement?N/AYesNoName of Conference:Start Date: MM slash DD slash YYYY End Date: MM slash DD slash YYYY Required SignaturesType your name below to confirm*CAPTCHA
