The Family Medical Leave Act (FMLA) of 1993 enables eligible employees to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.
To be eligible for FMLA benefits, an employee must:
Under FMLA, an employee is entitled to:
An employee must request FMLA 30 days in advance when the need for leave is foreseeable. When the need for leave is foreseeable less than 30 days in advance or is unforeseeable, an employee must provide notice as soon as possible and practicable under the circumstance. An employee must complete an Application for Leave under FMLA and any corresponding FMLA certification forms to support the leave. If FMLA is for an employee’s serious health condition, a corresponding Form DB-450 must also be provided for Short-term disability benefits.
Disability & Leaves of Absence Forms