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Family and Medical Leave Act (FMLA)
Related Documents:
WH-380 Form - Employee
WH-380 Form - Family Member
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Family and Medical Leave Act (FMLA)
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The Family and Medical Leave Act (FMLA) entitles eligible employees of covered employers 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. Eligible employees are entitled to:

Twelve workweeks of leave in a 12-month “rolling” period for:

  • The birth of a child and to care for the newborn child within one year of birth;
  •  The placement with the employee of a child for adoption or foster care and to care for the newly placed child within one year of placement;
  • To care for the employee’s spouse, child, or parent who has a serious health condition;
  • A serious health condition that makes the employee unable to perform the essential functions of his or her job;
  •  Any qualifying exigency arising out of the fact that the employee’s spouse, son, daughter, or parent is a covered military member on “covered active duty;” or

Twenty-six workweeks of leave during a single 12-month period to care for a covered service member with a serious injury or illness if the eligible employee is the service member’s spouse, son, daughter, parent, or next of kin (military caregiver leave).

There are several forms related to FMLA that need to be completed for an employee:

Employee hands in to Human Resources Department:

  • WH-380-Certification of Health Care Provider for Employee’s Serious Health Condition or
  • WH-380-Certification of Health Care Provider for Family Member’s Serious Health Condition

Both of the WH-380 forms should be completed by a physician and outline the need for an employee (or employee to take care of a family member) to either be off work or on a reduced schedule. These forms can be found to the right for downloading and completion.

Also refer to Board Policies 434 & 435 and 534 & 535 for FMLA information as it pertains to the Bradford Area School District.