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.