Need Time? Guidelines for Leave of Absence
All medical and or maternity leaves should be requested, in writing, stating the date the leave will begin and the expected date of return to work. Employees are required to provide 30 days notice for forseeable leaves of birth, adoption, foster care placement, or planned medical treatment.
Any FMLA eligible employee (employee must have worked 12 months or 1250 hours within the past 12 months) is entitled to apply for up to 12 weeks of unpaid FMLA leave for a variety of reasons including:
- Serious Health Condition
- Expanding Your Family
Employees MUST complete the Request for Medical or Maternity Leave Form first and return to the Benefit Department 30 days prior to your leave request. The Certification of Healthcare Provider should be completed by a physican and returned to the Benefit Department. More information is also available below in the FMLA Employee Guide. A determination will be made whether the leave is FMLA or non-FMLA. Please refer to individual contracts for non-FMLA leave guidelines.
Contact Kristine Davis, Benefit/HR Coordinator firstname.lastname@example.org for more information.