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Family and Medical Leave of Absence (FMLA)

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FMLA entitles eligible employees to take a total of 12 workweeks of unpaid, job-protected leave in a 12-month period for specified family and medical reasons with continued health insurance coverage.

FMLA POLICY:
An eligible employee is entitled to FMLA for one or more of the following:

  • Upon the birth of a child and in order to care for such child;
  • For the care of a newly adopted child or newly placed foster child;
  • In order to care for a spouse, child under age 18, child age 18 or older but incapable of self-care because of a physical or mental disability, or parent of the employee, if such spouse, child, or parent has a serious health condition;
  • When the employee has a serious health condition that makes the employee unable to perform the functions of the employee’s job;
  • Because of any qualifying exigency arising out of the fact that the employee’s spouse, son, daughter, or parent is a military member on covered active duty (or has been notified of an impending call or order to covered active duty status); and
  • To care for a covered servicemember with a serious injury or illness if the employee is the spouse, son, daughter, parent or next of kin to the covered servicemember.

             
FMLA may be continuous or on a reduced schedule basis (intermittent), when medically necessary due to the serious health condition of a covered family member or the employee.

If the employee needs leave on a reduced schedule for planned medical treatment, the employee must make reasonable effort to schedule the treatment so as not to disrupt system operations.

Reduced schedule leave may be taken in no less than 15 minute increments.

ELIGIBILITY FOR FMLA:

  • An eligible employee is one who has worked for the System for a total of at least 12 months as of the date the leave is to begin.  The 12 months need not be consecutive.

If an employee is maintained on the payroll for any part of a week, the week counts as a week of employment.

  • To be eligible, the employee must also have actually worked 1,250 hours over the 12-month period immediately preceding the start of the leave. 

Please note: Time on paid or unpaid leave does not count toward the 1,250 hours

FORMS:
Employees should use the links below to obtain the forms to request Family and Medical Leave of Absence (FMLA).

Use these forms to Request a Leave for Employee’s Own Illness:


Use this form ONLY when requested by a Leave Administrator


Use these forms to Request a Leave for Employee to Care for a Family Member with a Serious Health Condition    (spouse, child under age 18, child age 18 or older but incapable of self-care because of a physical or mental disability, or parent of the employee)


Use these forms to Request a Leave of Absence for a Military Reasons (other than a call to active duty)

 

 

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