Family Medical Leave

Permanent full-time employees that have been employed for at least 12 months and 1250 hours are eligible for Family Medical Leave (FMLA) of up to 12 weeks per year.  The year of eligibility runs from July 1 through June 30 annually.

FMLA is allowed for the following:

• birth or placement of a child within one year of birth or placement;

• to care for an immediate family member;

• your own serious health condition; and

• any qualifying exigency arising out of an immediate family member serving on covered active military duty.

If you have any questions regarding leave requests please email Tommy Dills.

Certification of Health Care Provider for Employee's Serious Health Condition (WH-381-E) must be used when requesting Family Medical Leave for yourself.  Print the form, fill in employee information and take to your Health Care Provider to be completed.  Return form to the Human Resources Department.

Certification of Health Care Provider for Family Member (WH-380-F)  must be used when requesting Family Medical Leave for the care of an immediate family member. Print this form, fill in employee and family information and take to the Health Care Provider of your family member to be completed.  Return form to Human Resources.

For additional information on FMLA you may visit DOL Gov.

• Notice of Eligibility and Rights & Responsibilities WH-381

• EMPLOYEE Certification of Health Care Provider WH-380-E

• FAMILY MEMBER Certification of Health Care Provider WH-380-F