Extensions

If your medical emergency is anticipated to continue past the return to duty date, you may apply for an extension. Details are below:

• Submit a new recipient package with an updated beginning and end date.
  • Fax Cover Sheet (NIH 2941)
  • Application (NIH 2940)
  • Authorization to Disclose Information (NIH 2923)
  • Medical Documentation Request
• Deadline: Submit extension request within 30 calendar days following the approved end date of your original case.
• Follow the process outlined on the Recipient Information page.

If you have reached the 2019 yearly hourly cap of 480 hours for a personal medical emergency or family medical emergency, please contact the Leave Bank Office before submitting an extension application.

More information: LeaveBank@od.nih.gov or call 301-443-8393.