despp: Family Medical Leave Act (FMLA)
Human Resources

Family Medical Leave Act (FMLA)


Please Contact Your Human Resources Liaison for Assistance


FMLA Policy


INFORMATION


FORMS

FOR SELF - Documentation required to be completed when the leave is for your own illness, including the disability portion of maternity leave.

CAREGIVER - Documentation required to be completed when the leave is used to care for a spouse, child (under age 18 or 18 or older and incapable of self-care because of mental or physical disability), or parent with a serious health condition /serious illness. 

You might also be required by Human Resources to produce documentation demonstrating the required relationship between you and your family member.

FOSTER CARE/ADOPTION - Documentation required to be completed when the leave is used due to placement of a foster child or adoption. 

  
In the case of placement of a foster child, you must provide a letter from the state establishing the placement date.  Please consult Human Resources for details.

In the case of adoption, you must provide a letter from the adoption agency establishing the date of
adoption.  Please consult Human Resources for details.
 

MILITARY FAMILY LEAVE - Qualifying Exigency - (Consult with Human Resources) Documentation required to be completed when the leave is used due to a qualifying exigency arising out of the fact that your spouse, son/daughter, or parent is on active duty or called to active duty status in support of a contingency operation as a member of the National Guard or Reserves.  


You may also be required to produce documentation demonstrating the required relationship between you and the service member.

MILITARY FAMILY LEAVE - Serious injury/illness - (Consult with Human Resources) - Documentation required to be completed when the leave is because you are the spouse, son/daughter, parent, or next of kin of a covered service member with a serious injury or illness.

You may also be required to produce documentation demonstrating the required relationship between you and the service member.






Content Last Modified on 8/15/2017 12:46:45 PM