Entering Medical Information for a Leave Request

Access the Medical Information form.

After you complete this form, click Next and proceed to the Submitting a Leave Request task.

Enter relationship of person with medical condition.

Enter a UDC code that defines the relationship of the person with the medical condition to a covered employee for medical leave purposes.

Enter spouse's address book number if they are an employee and you are requesting time off for a reason related to him/her.

Enter the address book number of the spouse.

Enter name of person with medical condition.

Enter a display-only field that shows the employee's name as it has been entered in the Alpha Name field in the JD Edwards EnterpriseOne Address Book system.

Enter medical condition.

Enter a short description of the medical condition that is the reason for a medical leave request.

Enter name of caring physician.

Enter the name of the medical professional who is caring for a patient or case.