Salt Lake City

Human Resources

Phone: (801) 535-7900

Requesting a Leave of Absence

Please follow this process to request any type of leave of absence:

1 – Click here to open the Leave of Absence (LOA) Request Form.  Fill in all of areas where they’re highlighted in the form. NOTE: in any event, please provide at least 30-days in advanced notice for your request.

2 – Once completed, email your LOA Request Form to or FAX to (801) 535-6255.

3 – Leave requests will be reviewed and processed upon completion of the LOA request form.

4 – Upon submission of this form, please allow 24-48 hours for your eligibility to be reviewed. 

5 – Your packet will be sent via your City and/or personal email address.

If you should have any questions, feel free to contact the Leave Management Team at (801) 535-7121 or