Family and Medical Leave Act

The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leaves for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employees had not taken leave.  

Family and Medical Leave Policy

  1. Family Medical Leave Policy

Family and Medical Leave Forms

  1. 2020 Certification for Military Family Leave for Qualifying Exigency
  2. 2020 Certification for Serious Injury or Illness of a Current Service Member
  3. 2020 Certification for Serious Injury or Illness of a Veteran
  4. 2020 Certification of Health Care Provider for Family Member
  5. 2020 FMLA Certification for Healthcare Provider - Employee
  6. 2020 FMLA Certification of Health Care Provider
  7. 2020 FMLA Designation Notice
  8. 2020 FMLA Notice or R and R w Eligibility Notice
  9. Fitness for Duty Form

Notices

  1. Employee Rights
  2. Wisconsin Family and Medical Leave Act Notice
  1. Are All Employees Eligible for FMLA?
  2. How Do I Request an FMLA Leave?
  3. What is FMLA?
  4. Do I Need To Provide A Fitness-For-Duty Certification Before I Can Return to Work?
  5. How Do I Request and FMLA Leave?
  6. How Much Time Can I Take?
  7. How Will My Benefits Be Affected During My FMLA Leave?
  8. If I Am Approved For An Intermittent FMLA, What Is Expected Of Me?
  9. If I Am Out On Time Loss For A Workers Compensation Claim, How Does That Work With FMLA?
  10. What is Considered a Serious Health Condition Under FMLA?
  11. What Types of Leaves Are Covered Under FMLA?
  12. Who Should I Inform About The Changes During My Leave and My Plan To Return To Work?
  13. Who Will Complete My Timesheet While I Am On Leave?
  14. Will I Accrue Vacation and Sick Time While I Am On Sick Leave?
  15. What Is Intermittent Leave?
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