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Human Resources

Paid and Unpaid Leaves

With management approval, there are a variety of leaves that an eligible employee may take:

  • Family and Medical Leave Act (FMLA)/Oregon Family Leave Act (OFLA)

    This leave can be taken for the following reasons:

    1. A serious health condition that makes you unable to do the essential functions of your job (including pregnancy).
    2. The birth of your child, or the placement of a child with you for adoption or foster care.
    3. A serious health condition affecting your spouse/same sex domestic partner, child/grandchild, parent/parent-in-law, or grandparent for whom you need to provide care.
    4. To care for a child with an illness or injury that is not a serious health condition but that requires home care.
    5. Because of any qualifying contingency arising out of the fact that the spouse, or a son, daughter or parent of the employee is on active duty (or has been notified  of an impending call or order to active duty) in the Armed Forces in support of a contingency operation.
    6. Because you are the spouse; son or daughter; parent; next of kin of a covered service member with a serious injury or illness.

Many additional faculty policies and procedures are described in the Faculty Handbook.

Leave of Absence (LOA) Process

It is very important that you inform the Benefits Office before you leave on a leave of absence and when you return from a leave of absence. We have also developed a checklist to assist you in determining what you need to do before you take a a paid or unpaid leave of absence

Step 1

Review the relevant Lewis & Clark Policies, to gather information about the specific leave that you plan to take.

Step 2

Call the Human Resource Office at 503-768-6235, to schedule an appointment with a Benefits Representative to discuss about the process to request a leave and your benefit options while on leave and upon returning from leave.

Step 3

Complete the forms that apply to your specific leave. Please return all forms to the Human Resource Office at MSC 72 or by fax at 503-768-6233.

A: FMLA/OFLA Leave Request:

 Family/Medical Leave Request Form
To take your protected leave, you must submit your request.

B: Certification from a Health Care Provider For:

Employee’s Serious Health Condition - Please have a Health Care Provider complete if you are taking time off for your own condition.

Family Member’s Serious Health Condition - Please have a Health Care Provider complete if you are taking time off to care for your family member.

Serious Illness or Injury of Covered Service Member - Please have a Health Care Provider complete if you are taking time off to care for a service member.

Military Family Leave - Please complete if you need to take time off for active duty or if you need to help a family member prepare for active duty.

Step 4

Upon approval of your leave of absence, request a copy of the approval letter and/or personnel action form (PAF) confirming the leave.

Step 5

Fitness for Duty Form
If applicable, please have your Health Care Provider complete this form at the end of your own serious health condition leave to ensure you are physically ready to return to work.

Human Resources

Contact Us

  • 72

    Human Resources is located in South Chapel Annex on the Graduate Campus.


    voice 503-768-6235 fax 503-768-6233

    Associate Vice President of Human ResourcesHeyke Kirkendall-Baker

    Human Resources

    • Human Resources Lewis & Clark 0615 S.W. Palatine Hill Road MSC 72 Portland OR 97219