Short Term Disability

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CSU FAMLI is inclusive of short term disability (STD) for employees who live and work in the state of Colorado and it may not be used separately from CSU FAMLI.

Short term disability (STD) benefits begin after 10 consecutive workdays of absence or after all accrued time-off (e.g. sick/annual leave) has been exhausted, whichever occurs later.

STD benefits can last up to 60 continuous workdays and runs concurrently with the waiting period and accrued time-off. Benefits are payable for the duration of the disability as long as there is supporting medical documentation, but cannot exceed 60 continuous workdays from the date of disability as determined by your healthcare provider. STD is prorated based on FTE.

The date of disability is determined by your healthcare provider and does not necessarily align with the exhaustion of accrued time-off.

STD benefits will end under the following circumstances:

You reach the maximum 60 workdays of STD benefits,
Long-Term Disability (LTD) benefits begin,
You retire,
You return to work, or
You are separated from service.

Employee Information

Name*

Employee ID*

Department*

Employee Type*

Phone

Did you for CSU FAMLI?*

Employees who live and work in Colorado must apply for FAMLI to access short term disability benefits.

Yes

CSU’s STD plan is a self-funded plan that replaces 100% of your monthly salary. There is no taxation, retirement, flexible spending or health savings account contributions deducted from STD benefits.

Reason for leave*

Birth/Pregnancy

Illness

Injury

Other

Last day worked*

Number of hours worked on your last day

Expected duration of leave

Please provide the estimated start and end dates of your absence, ensuring the total duration does not exceed 60 working days. If your request is approved, the actual payable period will be determined by: the date of disability and duration as determined by your healthcare provider, and the date your accrued time-off is fully utilized.

Start Date

End Date

You are required to provide medical documentation from your health care provider specifying the length that your condition will prevent you from performing the essential functions of your job (but for at least 10 or more continuous working days).

Date of disability is determined by medical documentation from the your healthcare provider.
STD benefits are payable once per condition or related condition.
Benefits are paid once the application and supporting medical documentation are received, reviewed, and approved by Human Resources.
An employee receiving STD benefits who is able to work part-time may receive partial benefits, with hours worked being paid by the employee’s department. The STD maximum period of 60 continuous workdays will not be extended.

Download the required medical certification form.

Upload Medical Certification Form

Max. file size: 49 MB.

Colorado State University

Human Resources

Faculty, Administrative Professional and Non-Classified Staff

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Employee Information

Expected duration of leave

Department Information