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  1. INSTRUCTION: To be completed when an employee is requesting annual or personal leave for any number of days/hours, bereavement leave for 5 days or fewer, or all other types of leave for 4 days or fewer. Leave requests not meeting these criteria should be submitted on MCPS Form 430-1.

  2. Form 430-94 - Professional Leave (PRO) To be completed when an employee is requesting leave of 5 days or more, except annual or personal. INSTRUCTIONS: Please complete form, discuss leave plans with immediate supervisor, obtain signatures, attach proper documentation, and forward to ERSC.

  3. MCPS Form 430-1: Leave Request Submit to your principal/supervisor for leave approval for all leaves longer than 5 days. ERSC must then receive this form at least 30 days prior to your leave start date.

  4. If you are on personal illness or workers’ compensation leave, be sure to submit either MCPS Form 440-40M, Return to Work Evaluation: MCEA Employees or MCPS Form 440-40S, Return to Work Evaluation: SEIU Employees to the Employee and Retiree Service Center (ERSC) prior to reporting to work.

  5. To apply for personal illness leave for 4 days or less, employees are required to submit MCPS Form 430-1a, Leave Request (NOT Requiring ERSC Authorization) to their principal/supervisor.

  6. Individuals wishing to join the Bank at a later time need to complete a Sick Leave Bank Enrollment Form (See below). Requests for use of bank days by members must be made no later than 30 days after the expiration of their own sick leave.

  7. INSTRUCTION: To be completed when an employee is requesting annual or personal leave for any number of days/hours, bereavement leave for 5 days or fewer, or all other types of leave for 4 days or fewer. Leave requests not meeting these criteria should be submitted on MCPS Form 430-1.

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