An unknown error occurred:
DBError
/dbs/api_data.db
Database file could not be found or opened

eFMLA: Family and Medical Leave Act Made Easy

Governor Wentworth Regional School District
Employee Leave Request


Note: * Please fill out all required fields below.

Step 1: Complete the information below and Click Submit.


Date:    03/03/26
Salutation:   
* First Name:   
* Last Name:   
Employee #:   
* Email:   


Note: The email address above should be the email that you use to communicate with Governor Wentworth Regional School District.

Please be advised that you must follow our usual and customary notice and procedural requirements for requesting leave.