• FMLA Family Member

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  • FMLA form/Employee

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  • Internal TUFSD FMLA form

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  • Information Sheet

    Under the federal Family and Medical Leave Act of 1993, certain eligible employees may be entitled to up to 12 weeks of leave in any 12-month roll back period to attend to specific family and health related issues. You may be eligible for leave under the Family Medical Leave Act (FMLA), if you have worked for the district for at least one year or 1,250 hours over the previous 12 months.

    To request a FMLA complete the FMLA form and return it to the HR department with a doctor’s note, and the reason for and duration of the leave. FMLA requires that eligible employees give a 30-day advance notice when the leave is foreseeable.

    The following are FMLA entitlement reasons:

    • The birth and care of a newborn child of the employee or for placement with the employee of a son or daughter for adoption or foster care
    • A “Serious Health Condition” as defined by FMLA law, makes you unable to perform the essential functions of your job.
    • A “Serious Health Condition” as defined by FMLA affecting your spouse, child, or parent for which you are needed to provide care.
    • A qualified exigency arising out of the fact that a spouse, child, or  parent is on active duty or called to active-duty status in support of a contingency operation as a member of the National Guard or Reserves.
    • Caretakers leave – you are the spouse, child, or parent/next of kin of a covered service member with a serious injury or illness.

     

    Medical Certification: TUFSD requires medical certification or a doctor’s note to be provided when taking leave due to a serious health condition as defined by FMLA. The District may also require periodic medical re-certification of a serious medical condition and reserves the right to request a second or third opinion from a medical specialist if needed.

     

     

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