Secondary Caregiver Leave

EDSI provides one week paid leave at 100% of the employee’s regular pay rate (excluding overtime) following the birth or adoption of a child(ren). This leave must be used within six (6) months of the birth or adoption and must be used in one continuous block of time.

An employee will not accrue PTO during this leave of absence.

Employee's First Name

Last Name

Location/Program

Location/Program Address

Location/Program City State Zip

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Reason for leave

Please provide the due date or placement date

Requested week of leave:

From

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Secondary Caregiver Leave

Seeking Minority and Disadvantaged Business Partners