Family and Medical Leave (FMLA)
When you or a family member experiences a serious health condition that requires you to take time off from work, the stress from worrying about keeping your job may add to an already difficult situation. The Family and Medical Leave Act (FMLA) may be able to help. Whether you are unable to work because of your own serious health condition, or because you need to care for your parent, spouse, or child with a serious health condition, the FMLA provides unpaid, job-protected leave. Leave may be taken all at once, or may be taken intermittently as the medical condition requires.
You are eligible for the FMLA program if you meet the following criteria:
- You have been employed with the County for at least 12 months and have worked a minimum of 1250 hours during the 12 months immediately prior to the start date of your Leave.
- You have not exhausted your 12-week FMLA entitlement balance per 12-month period measured forward from the first use of an FMLA-qualified time off.
- The Leave is for Self, Spouse, Parent, or Child (the child being under age 18 and/or incapable of self-care
Please see the Administrative Guidelines for Family Medical Leave Chapter 3.67.
How to apply for FMLA:
|If Family Leave is for...||Complete the Certification of Health Care Provider form below.|
|Employee's own health condition||Certification of health care provider for employee's serious health condition|
|Family member's health condition||Certification of health care provider for family member's serious health condition|
|Injury / illness of covered military service member||Certification for serious injury or illness of covered service member for military family leave|
|Qualifying exigency for active-duty military family member||Certification of qualifying exigency for military family leave|
|Injury / illness of military veteran||Certification for serious injury or illness of a Veteran for Military Caregiver leave|
Additional Resources and FAQs
If you would like more information, please see the links below.
- Employee’s Guide to the Family and Medical Leave Act (FMLA)
- See FAQs for all leave questions to include military and pregnancy/childbirth.
- United States Wage and Hour Division FMLA Rights and Responsibilities poster