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L&S Leave Request form for Faculty and Instructional Academic Staff
Please fill out the following form and submit it to your department chair or program director for approval if you plan to be absent during the academic year. The form may be filled out in a word processing program or printed and filled out by hand.
The document contains the form for faculty and instructional academic staff requesting planned leave from a department or, if appropriate, the College of Letters & Science.
Request to be absent form for faculty and academic staff (MS Word document)
If you teach in more than one department or program, please submit a request to each. You do not need to submit this form if you are not on University payroll.
For absences longer than two weeks, complete both sides of the form and submit it to your department chair or program director at least three weeks prior to the planned absence. The chair or director of your unit will need to forward the signed request to the Dean's Office, 105 South Hall, at least two weeks prior to the planned absence. Otherwise, file at the department level.
Summer Sessions: Please discuss any absences of teaching staff during the Summer Session in advance with Associate Dean Nancy Westphal-Johnson.
Fundamental Responsibilities: No member of the faculty shall be absent from his/her classes or other regular duties at the University except by permission of the chancellor or appropriate dean. Faculty members shall avoid a concentration of class hours that is detrimental to effective teaching. Faculty Policies and Procedures, Chapter 8.02
Vacation: If you are an academic-year basis (9 month) staff member, whether full or part-time, you do not earn vacation and are expected to work during the appointed period except for days specifically listed as paid holidays. (Almost all faculty and instructional academic staff in L&S are on an academic-year basis. If you are an annual-basis employee, see the Benefits Booklet for details about accrued vacation time.) UW-Madison Employee Benefits Booklet