Talk to Sedgwick.
Requesting leave
EContact Sedgwick and your
manager as soon as you know you’ll be
gone for more than three days. Sedgwick will
guide you through the rest.
Disability payments
If you’re out for more than seven days
and you’re eligible for disability pay, Sedgwick
will handle your claim.
Key paperwork
Supporting documentation may be
required for some leaves. Sedgwick can
help with that too.
To take a leave of absence (LOA), you need to request a leave from Sedgwick, our third-party administrator, and have it approved. Here’s how to make your request.
How to request a leave
File your request online through mySedgwick.com. All leave requests must be submitted to Sedgwick, even if you’re applying for a personal reason that also requires approval by your manager. You’ll need to provide:
- The reason for your leave
- The dates for your leave and whether it’s continuous (all at once) or intermittent (some now, some later)
- Your most recent two-week work schedule (hourly), three-week work schedule (salary) or four-week work schedule (drivers)
- The fax number for your doctor if you’re requesting a medical or family care leave
Medical Certification—If your leave is for medical reasons, take the form provided by Sedgwick to your doctor to be completed, and make sure it’s returned within 20 calendar days. Sedgwick can also fax the form if you give them your doctor’s fax number. You should always follow up with your doctor to make sure the form has been completed and returned by the due date.
Attending Physician Statement—Take the form provided by Sedgwick to your doctor to be completed. If your leave is a result of emergency medical treatment, Sedgwick will accept information from the emergency room doctor showing the date you went to the ER, the patient treated (yourself or a family member), the medical reason, and the dates the doctor recommends you miss work and continue ongoing medical treatment.
Release of Information—This form allows Sedgwick to contact your medical providers to coordinate your leave and get any additional details or clarification.
To return your completed forms:
- Upload to mySedgwick.com
- Email to WalmartForms@Sedgwicksir.com
- Fax to 859-264-4372 or 859-280-3270
IMPORTANT: Sedgwick must receive your completed Medical Certification or Attending Physician Statement within 20 days, or your leave and/or short-term disability claim may be denied. If you cannot submit the form in time, request an extension with Sedgwick before the deadline.
When should I send in my request?
Try to submit your request 30 days before the day you plan to start your leave. If your request is for unexpected reasons, get it in as soon as you can, preferably within one business day after you know you’ll need a leave. If you’re unable to submit your own request, an HR Representative, your manager, or a family member can submit it for you.
If your request is denied, Sedgwick will call you to explain the reason and follow up with a letter. If you have questions, talk to your leave specialist first. Then contact your HR Representative or facility manager to discuss your options and next steps and whether you plan to return to work.
The most common reasons for denials are:
- Not providing all your supporting documentation within 20 days.
- Not providing additional information requested by Sedgwick within 12 days.
- Not meeting the eligibility requirements (hours and/or length of time working for the company) for the type of leave you’ve requested.
Leave requests can also be denied when a medical issue is not considered a serious medical condition, you have exhausted your available leave benefits, or the request is outside Company policy guidelines. A personal leave for a reason that’s considered discretionary may also be denied by your manager for business reasons.
Keep in mind that Sedgwick may approve your leave but deny a disability benefits claim that goes with it. The medical information required for a leave of absence may show you have a serious medical condition and cannot work, but the medical certification form used for a disability claim (called an Attending Physician Statement) requires additional medical information. This must show you have a disabling condition as defined by the short-term disability plan to be eligible for disability. This information may include X-rays, laboratory reports, tests, and consulting physician reports, as well as tests and chart notes from your physician, which Sedgwick will collect.
Open door and appeals process
If your leave and/or short-term disability claim was denied, you can request a review of your case:
- If your leave was denied by Sedgwick or your facility manager, you can use the Open Door “Step-by-Step” process
- If your disability claim was denied by Sedgwick, you have the right to appeal the denial. This means you can ask Sedgwick to take another look and review additional information about your claim. For more about appealing short-term disability claim denials, see the Associate Benefits Book.
Sedgwick uses a third-party language line, which provides a translator for you when you’re talking with a Sedgwick representative. This language line supports over 250 different languages. While all forms are in English, you can fill out your medical certification form in another language and Sedgwick will have it translated.
More resources
Need help?
For leave of absence help, visit mySedgwick.com or call Sedgwick at 800-492-5678.For benefits help call People Services at 800-421-1362.
Mon.–Fri. 7 a.m.–7 p.m. (CT), Sat. 7:30 a.m.–4 p.m. (CT).
