Per the AFA/AWA Agreement, Section 14-F-2, a flight attendant may elect to use his/her Sick Leave and/or Vacation Days while on a Family Medical Leave of Absence (FMLA). Flight attendants are entitled to 84 days of FMLA per year (based on a rolling calendar year), provided you have been employed for at least one year and have worked at least 625 block hours in the past calendar year. FMLA and STD/OJI run concurrently, so any time you are on a STD or OJI you are also using FMLA days. If you are on a STD or OJI and elect to use vacation days you must use an entire vacation group. (Vacation groups cannot be split.)

Today’s date: ______________________ Employee C#________________

Name: _____________________________ Signature: __________________________

Fax to the following AWA Fax #’s: Inflight Administration 480-693-3095

Please notify me that you have received this request by:

ð Phone:_______________________ Fax:________________________________

Co-Mail to: T-4 Inflt C#___________ Email to:____________________________