Fillable Verification For Employer Approved Leaves printable pdf download

Employer Information Circular

Volume 23; Issue 14

November 28, 2007

Verification for Employer-Approved Leaves of Absence

The purpose of this circular is to inform employers of the availability of a new form titled

Verification For Employers-Approved Leaves (SC-1553 attached), which will be used to provide

verification for the employer-approved leaves eligible for service credit purchase by CalSTRS

members.

CalSTRS members can purchase permissive service credit for unpaid time spent on the following

employer-approved leaves of absence: Maternity/Paternity, leaves granted pursuant to the Family

and Medical Leave Act (FMLA), Sabbatical and leaves taken per the Federal Mutual

Educational/Cultural Exchange Program, also known as a Fulbright leave. CalSTRS only allows

these employer-approved leaves for purchase. Personal leaves of absence or any other type of

leave are not purchasable.

In order for CalSTRS to determine the cost to purchase service credit for time spent on one of the

aforementioned employer-approved leaves, members are required to fill out the Redeposit or

Purchase of Permissive Service Credit form (MS0287) and provide documentation from their

employer that verifies the type of leave taken and the dates of the leave(s). Once the request form

and leave verification are received and approved by CalSTRS, a billing statement is generated

and mailed to the member.

The intent of the new form is to standardize and simplify the employer-approved leave

verification process. On the new form, employers must provide the name and Social Security

number of the employee (if not already provided), select the leave type(s), provide the date(s) the

leave(s) were taken, and complete the Employer Representative section of the form. No further

documents are required, but CalSTRS may contact you if there are any questions with the

information provided. Once completed, the form needs to be returned to the employee or mailed

directly to CalSTRS.

The form mentions transmitting the document electronically to CalSTRS via the Secure

Employer Website (SEW). However, the SEW functionality for the form is not yet in place, thus

this feature is not currently available. Employers will be notified and provided instructions when

the SEW functionality for transmitting the form is complete and available for use. Until then,

employers/members will need to send the form directly to CalSTRS.

The new form is available for printing/downloading at in the Forms &

Publications section. Forms may also be completed electronically and emailed to

. If you have any questions regarding this circular, please contact CalSTRS

Accounting Division at (916) 229-3962.

P.O. Box 15275 • Sacramento, CA 95851-0275 •

Securing the financial future and sustaining the trust of California’s educators

Verification For Employer Approved Leaves