Medical Leave Reference Center

The Little Rock School District (LRSD) offers leave benefits that allow employees to take time off from work for various reasons, pending District approval. The leave benefits require specific documentation. It is the employee’s responsibility to provide current and sufficient documentation to LRSD Human Resources Department for determination of eligibility. Below are the links to retrieve all LRSD Medical Leave packets and additional medical leave information. If you should have any questions regarding a LRSD Medical Leave of Absence, please contact Human Resources Department 501-447-1100.

LRSD Medical Leave of Absence Packets and Information

Request for Medical Leave Form (Required)

Employee's Serious Health Condition form

Family Member's Serious Health Condition form

Medical Leave Update form

Return to Work Certification form

Non-Violent Worker’s Compensation Medical Leave Claim form

Military Family Leave for Qualifying Exigency form

Military Leave of a Current Servicemember form

Military Caregiver Leave of a Veteran form

Short Term Disability Claim form

Long Term Disability Claim form

Hospital Confinement form

AR Benefits

Employee Request for Military Leave

ADA Reasonable Accommodation Request form