University of Pittsburgh

Leaves of Absence: Faculty Medical & Family Leave

Procedure Required Materials For Faculty Medical And Family Leave (FMFL)

  1. Completed ER form
  2. Faculty member’s written request stating type of leave (family leave or medical leave) and requested time period 
  3. Letter of approval from departmental chairman to contain:
    1. Endorsement
    2. Assurance of coverage for duties and responsibilities of the faculty member
  4. For medical leave, the “Certification of Physician or Practitioner Form” must be completed and attached