Free Leave of Absence Agreement

Table of Contents

1. Download a Leave of Absence Agreement Template
2. What is a Leave of Absence Agreement?
   • Leave of Absence Agreement PDF Sample
3. When a Leave of Absence Agreement is Needed
4. Consequences of Not Having an Agreement
5. Most Common Situations For Using a Leave of Absence Agreement
6. What Should be Included on a Leave of Absence Agreement
7. Frequently Asked Questions

1. Download a Leave of Absence Agreement Template

Click here to download your free form

2. What is a Leave of Absence Agreement?

A Leave of Absence agreement is a written agreement between an employer and an employee. It documents the terms and conditions of an employee’s leave of absence from a business. A leave of absence agreement grants an employee an absence from their job for a specific length of time, so they may attend to other matters. The employer agrees to hold the employee’s job (or, in some cases, a similar position) for the employee upon return from leave. The employee agrees to return at a specified time.

Depending on the facts and circumstances of an individual case, a leave of absence agreement may include additional requirements that are fact specific. Some examples include:

• A requirement the employee document job specific training while on leave;

• Documentation of a medical need; or

• Regular updates regarding the purpose of the leave.

Different Types of Leave

There are generally two different types of leaves of absence contemplated by a leave of absence agreement. These include extended leave and intermittent leave.

Extended Leave

Extended leave refers to a leave of absence for several weeks or months to address a life situation, such as the birth of a child, the need to settle the estate after the loss of a parent, dealing with illness, or other situation approved by the employer.

Intermittent Leave

Please note that Intermittent Leave is not covered under the scope of our LegalTemplates document.

Intermittent leave, on the other hand, is a request for either a reduction in hours per day, or a reduction of days worked for reasons such as ongoing education or training. For example, an employee may request intermittent leave where they work 6 hours, instead of 8, each day for the next two months.

In the case of medically related intermittent leave, the request may involve attending a standing medical appointment, or a shorter work day while recovering from an illness, such as cancer. 

Leave of Absence Agreement PDF Sample

The sample leave of absence agreement below details an agreement between ‘ABC, Inc.’ and an employee, ‘Kimiko Uehara.’ ABC, Inc. agrees to grant Kimiko Uehara a leave of absence due to personal issues and describes the conditions for the leave.

Leave of Absence Agreement

3. When a Leave of Absence Agreement is Needed

Leave of absence agreements benefit both employer and employee in different ways.

When Employers Need a Leave of Absence Agreement

When a valued employee indicates a desire to leave employment for personal reasons, you as an employer may wish to execute a leave of absence agreement. This agreement offers the employee assurances you will hold their job for them while they are away. You can set the terms and conditions, including, for example:

• The length of time the agreement is valid;

• Your expectations about employee conduct during the leave (for example, if the employee requests intermittent leave to attend a college class, you may require the employee actually attend class, and/or hand in assignments on time, and/or receive a passing grade);

• Documentation required, if any;

• Any competency testing or proficiency testing to be performed upon return from a leave; and,

• The conditions which convert a voluntary leave to a termination.

Incorporating above definitions and parameters will help protect your business by clearly defining obligations and responsibilities of both parties.

When Employees Need a Leave of Absence Agreement

If you are planning to take a leave from employment, a leave of absence agreement protects you and your position in the company. Leave of absence agreements are contracts. They are a written guarantee you won’t lose your job, your seniority, or your place in the company as a result of your leave.

It also details expectations about benefits, conditions which must be met during the leave and immediately prior to return from leave, and how an employee’s leave may transform into a termination.

For Both Employers and Employees

A leave of absence agreement defines the terms and conditions of a leave. Any time an employee takes a leave of absence, a written agreement defining the terms of the leave and the expectations of both parties protects the rights of both.

4. Consequences of Not Having a Leave of Absence Agreement

Without a leave of absence agreement, employees have no guarantee their job, or a similar position, will be available for them when they are ready to return from leave. Employers face uncertainty about when or whether an employee will return.

Without reducing the agreement to writing, unintended consequences often present themselves. Failing to use a written document detailing the terms of the leave, leaves the initial intentions ,and agreed upon obligations, to one’s memory, making it highly susceptible to change or breach.

For example, miscommunication may result in the loss of benefits, if the employee fails to pay an employer their agreed upon share. Alternatively, an employee may not understand a doctor’s note is required in order to return to work, resulting in unexpected delays.

Disputes regarding the terms of the leave may result in unhappy employees, employers short of staff they need to complete the work, and, in some cases, lawsuits.

5. Most Common Uses for a Leave of Absence Agreement

An employer has the option of using a leave of absence agreement in any situation they believe merits granting a leave of absence. However, the most common reasons for using a leave of absence agreement include the same reasons listed under the Family and Medical Leave Act (FMLA). Of course, the FMLA only covers employers and employees who meet certain criteria.

Reasons for a leave of absence include:

• The birth of a child;
• The adoption of a child;
• A child placed in the home in foster care;
• An employee dealing with a serious health condition; or
• A situation arising out of an emergency related to a spouse, child, or parent on active duty status.

Other situations where an employer may, but is not legally required to agree to a leave of absence include:

• A leave to provide time to handle the estate after the death of a parent;
• A leave to spend time with and care for small children during the summer months;
• Taking a class or training to advance their career;
• Attending school abroad for a semester;
• Care for a loved one not covered under the FMLA, such as for a roommate or dear friend; or
• Extended bereavement leave.

Keep in mind that an employer is not required to offer extended bereavement leave. However, if an employee wanted to provide this type of leave, they are free to do so.

6. What Should be Included

Dates of the Leave

For extended leave, a leave of absence agreement should include both the start date and the anticipated end date of the leave. If the leave length is uncertain, such as when dealing with a health condition, an end date should still be included, along with any language detailing extensions.

Extension Details of the Leave

In situations where an extension may be required, such as when dealing with an illness, extension details should be addressed fully, including:

• How: how an extension should be requested (including whether the request must be in writing);

• Timeframe: the date of the extension request in relation to the anticipated end date of the leave;

• Parties to the extension: identify all contacts who must receive notification regarding any requested extension;

• Other terms: whether other terms and conditions of the leave (such as who pays for benefits, the accrual of vacation, etc.) change or remain the same in the event of an extension;

• Resignation: if the extension request does or may constitute a resignation; and

• Modifications: the circumstances, if any, under which an extension request modifies the employer’s obligation to hold the same position, as opposed to another position within the company.

Other Details Regarding Leave

Additionally, the following details about the leave of absence should be included:

• Whether the employer expects reports about the status of the leave on an ongoing basis;

• If the employer expects a physician’s statement, either during ongoing leave or as a condition of returning to work, as well as the contents of the statement (i.e. “released back to work,” “no longer contagious,” etc.); and

• The consequences if the employee doesn’t meet the terms and conditions of the agreement.

Details about Benefits (If Any)

The agreement should clearly address and delineate all details about job benefits during the leave. Such benefits include:

• Whether the employee must exhaust paid vacation and sick time before taking unpaid leave;

• Whether vacation and sick time still accrue during the absence;

• If vacation and sick time still accrue, and if they do, whether the rate is the same or different than accrual during full time employment;

• Whether the employee still qualifies for health, dental, life, and disability insurance;

• Who pays for the benefits such as health, dental, life, and disability, and in what proportion;

• Whether the leave impacts any pension plan contributions made by the employer;

• How the employer expects employees to pay their portion of the benefits, (if applicable); and,

• The consequences of the employee not paying their portion of the benefits.

Details about the Job Position

A leave of absence agreement should specify whether an employer anticipates holding the employee’s current job. Additionally, the agreement should detail whether there is a possibility that no position will be available when the employee is ready to return.

If this is a possibility, the agreement should address alternatives. Will the employer offer them the next available position? Will the employer consider them for the next available position without application? Both the employer and the employee should know the benefits and the potential risks involved.