The Family and Medical Leave Act

(FMLA)

Employees are eligible to take up to twelve weeks (480 working hours) of family/medical leave within any 12 month period.  Employes using FML have the right to be restored to the same or an equivalent position upon return from leave. Leave without pay may begin after all available applicable paid leave has been exhausted and will be included in the twelve weeks of Family and Medical Leave. Applicable Sick Leave Pool benefits and leave resulting from Workers' Compensation claims (See Workers Compensation Coverage Policy E-55 for more details) will be included in the twelve week period, as well.

For accounting purposes of the FMLA, a rolling twelve month period will be measured backward from the date leave begins.

FMLA Quick Links Employe Eligibility Employee Leave Entitlement "Serious Health Condition" Definition "Qualifying Exigency" Definition FMLA Frequently Asked Questions (FAQs) FMLA Military Leave Frequently Asked Questions (FAQs)

FMLA Forms To view you need:   To be filled out by supervisor/admin assistant: Online Leave Request Form To be filled out by employee: FMLA Notice of Leave Form Medical Release Form To be filled out by employee/employee's health care provider: Certification Forms for Health Care Provider Return to Work Certification

For more information about SFA's policy on Family and Medical Leave please review the following policy.