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Paid Leave Oregon

NCSD Employees:

Please visit the NCSD PLO staff page for information needed to request a leave of absence.

These forms can be emailed to leaves@nclack.k12.or.us, or faxed to Human Resources at (503) 353-7378. Contact Human Resources at (503) 353-6000 with any questions. 
 

Paid Leave Oregon (Staff Only) 

How to Request Paid Leave Oregon (2026)

How will I file an OR PFML claim?

GROUP POLICY #: 01-021261-00

Oregon PFML Employee Flyer

Symetra Paid Leave Equivalent Plan

You can contact Symetra by calling us at 1-877-377-6773, faxing your completed claim form to 1-877-737-3650 or going online at www.symetra.com/MyGO. To start the claims process, you will need to provide the following information:

  • The policyholder's name.
  • Identifying information (name, address, Social Security number, etc.).
  • The reason for the leave and anticipated start date.
  • For family leave, your relationship to the person you will be caring for while on leave.
  • Whether your leave will be continuous or intermittent. If intermittent, the frequency and duration of your leave.
  • Verification that you have notified your employer that you're requesting leave.

To provide proof of your claim and to expedite the claim decision process, you will be required to send us an OR PFML claim form with all fields completed (by both you and your employer, and a healthcare provider if the claim involves a serious health condition). You can find the OR PFML claim form at www.symetra.com/MyGO or you can request the claims form packet from your employer.

Depending on the type of leave, you may also need to provide:

  • A bonding certification form.
  • A health care provider certification for your own medical leave or leave to care for a family member with a serious health condition.
  • A Safe Leave certification form.

Paid Leave Oregon

updated 1-6-26-