Family & Medical Leaves of Absence

Family and Medical Leaves

Job Protection and Benefit Continuation

Federal FMLA

  • Eligible after one year of employment and after working 1,250 hours or more in previous 12-months
  • Up to 12 weeks of leave during 12-month FMLA period
  • Continued eligibility for state contributions toward health insurance (directly billed as needed)

State FMLA

  • Eligible after 12 months of state service and after working 1,000 hours or more in previous 12-months
  • Up to 16 weeks of leave within a two-year period
  • Continued eligibility for state contributions toward health insurance (directly billed as needed)

Note: Leaves for employees with end date positions will not be extended beyond the end date.

Policy References

Federal Family and Medical Leave Act
Federal Family and Medical Leave Act in Spanish
U.S. Dept. of Labor Employee's Guide to FMLA
Statewide Family and Medical Leave Policy

The following provides general information about your responsibilities for initiating a leave, along with those of your supervisor and the Human Resources Leave Specialist.

Employee is Responsible for Submitting:

  • Leave Request Form to HR Leave Specialist
  • Intent to Return to Work Form to HR Leave Specialist
  • Medical Cert. or Military Cert. or Proof of Placement to HR Leave Specialist
  • Fitness for Duty Cert (prior to returning to work) to Leave Specialist
  • Expected Schedule (Full-Time/Reduced) to Supervisor

Supervisor is Responsible for:

  • Providing a General Overview of FMLA to Employee
  • Notifying Leave Specialist if Employee Cannot Contact HR
  • Ensuring Employee Knows Procedures for Calling Out when on intermittent FMLA
  • Accurate Time Record Keeping for Employee on Leave
  • Notifying Leave Administrator if employee use of FMLA is not within defined parameters of approved leave
  • Ensuring Employee has Return to Work Clearance from HR Leave Specialist

Human Resources is Responsible for:

  • Determining Employee Eligibility
  • Send Required Notices to Employee
  • Communicate with Supervisor/Manager
  • Coordinate Unpaid Leaves with Payroll
  • Provide Advice and Guidance