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K-State > Division of Human Resources > Forms > Leave Forms

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Form directions and/or additional information are provided in the Instructions or Information Column or within the form.

Technical Support for Forms:
Kathy Kugle (785) 532-1885
or email kkugle@ksu.edu

Division of Human Resources
Kansas State University
103 Edwards Hall
Manhattan, KS 66506-4801
785-532-6277
785-532-6095 (fax)
8 a.m. - 5 p.m. (CST)
Contact HR

Leave Forms

The various leaves are covered in the Leave Programs pages. Information for reporting leave is furnished on the Leave Reporting page.

Alphabetical List of Leave Forms
FORMS by NameDatedInstructions
or Information		 Versions
Administrative Leave Reporting 6/2003 PPM 4860.20 RTF Word PDF 
Family and Medical Leave Act (FMLA) Certification of Health Care Provider   Classified PPM 4860.50
Unclassified PPM 4865.60		 RTF Word PDF 
Family and Medical Leave Act (FMLA) Employee Request Form 01/2007 Classified PPM 4860.50
Unclassified PPM 4865.60		 RTF Word PDF 
Family and Medical Leave Act (FMLA) Employer Checklist 01/2007 Classified PPM 4860.50
Unclassified PPM 4865.60		 RTF Word PDF 
Family and Medical Leave Act (FMLA) Notice of Designation of FMLA Leave 01/2007 Classified PPM 4860.50
Unclassified PPM 4865.60		 RTF Word PDF 
Family and Medical Leave Act (FMLA) Notice to Employees Requesting FMLA 5/1999 Classified PPM 4860.50
Unclassified PPM 4865.60		 RTF Word PDF 
Holiday Emergency Overtime Reporting 6/2003 PPM 4450.70 RTF Word PDF 
Leave Balance Correction Sheet (PER-9) 5/2001 Information RTF Word PDF 
Leave Record 06/2008
for FY 2009		 Instructions RTF Word PDF Excel
Leave Request-Hourly (Non-Exempt) Employees   Instructions      Online
Leave Request-Salaried (Exempt) Faculty and Staff   Instructions      Online
Leave-Sabbatical Leave Application Form   Guidelines     PDF Online
Shared Leave Donation Form 8/2001 Classified PPM 4860.140
Unclassified PPM 4865.140		 RTF Word PDF  
Shared Leave Request Form 8/2001 Classified PPM 4860.140
Unclassified PPM 4865.140		 RTF Word PDF