Leave Request/Notice Form

Please use this form to request a maternity and/or parental leave, pre-paid/self-funded leave or military leave of absence. If your leave request is medical related (ie., sick, compassionate care, etc), please do not complete this form. Please reach out to OrganizationalHealth@bchsys.org for the appropriate resources and support.

Once submitted, your request will be routed to the Compensation and Benefits team. Following this, someone will reach out to you at your corporate email address to support you with next steps. Once you provide this notice, your leader, Staff Scheduling and other members of the Human Resources Team will be notified.