Community Consolidated SD 62
Employee FMLA Leave Request


Note: * Please fill out all required fields below.

Step 1: Complete the information below and Click Submit.


Date:    11/04/25
Salutation:   
* First Name:   
* Last Name:   
Employee #:   
* Email:   


Note: The email address above should be the email that you use to communicate with Community Consolidated SD 62.

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