Send to Melissa Strine at the District Office

Send to Superintendent at the District Office

"GOLD FORM" This must be APPROVED by the superintendent IN ADVANCE of taking the course, or it will not be counted towards advancement on the salary schedule

Section 10(a)(4) of the Family Bereavement Leave Act (820 ILCS 154/10(a)(4)) provides eligible employees up to 10 days of unpaid leave time for events related to pregnancy, adoption, and surrogacy. An employer may request reasonable documentation certifying that the employee, the employee’s spouse or domestic partner, or the employee’s surrogate experienced an event that qualifies for leave under Section 10(a)(4) of the Act; however, an employer may not require the employee to identify which category of event the leave pertains to as a condition of exercising rights under the Act. In accordance with 820 ILCS 154/10(d), this form is provided by the Illinois Department of Labor for documentation of 10(a)(4) bereavement leave.

Submit to the Superintendent.

Use of this form is required by 2:125-E3, Resolution to Regulate Expense Reimbursements. Please print and attach receipts for all expenditures.

Submit to the Superintendent.

Use of this form is required (1) by 2:125-E3, Resolution to Regulate Expense Reimbursements and (2) for pre-approval of expenses to be charged to a federal grant or State grant governed by the Grant Accountability and Transparency Act.