LOA Worksheet: ESP

Request a Recalculation of State Dues Obligation as a result of Leave of Absence for an ESP

"*" indicates required fields

Your name:*
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Salary calculator upon return from LOA

Projected full-year gross earnings before leave of absence. How much would you have been paid if there was no leave?
This is the total full-year district duty/contractual days. (Minnesota average is 182.)
(minus) Unpaid portion of leave (if any). Excludes MPL and PTO.

Enter 0 if none.

(minus) MN Paid Leave (MPL) portion
Pay lost per day during leave

Enter 0 if none.

This field is hidden when viewing the form
For example, if any portion of your leave was not paid by MPL or by district funds.
Max. file size: 100 MB.

I am requesting a dues recalculation to determine if I am eligible for a state dues reduction based on the formula in the Education Minnesota Constitution and Bylaws, Article II, Section 2(c).

By signing below, I affirm that my answers above are correct and accurate to the best of my knowledge, and that I will contact membership@edmn.org if any of the information I have provided here changes.

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Information will submitted to the Education Minnesota membership department.