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.pdf

Family and Medical Leave Forms

  1. Employee's serious health condition, form WH-380-E
  2. Family member's serious health condition, form WH-380-F
  3. Fitness for Duty Form.pdf
  4. WH-384 Military Family Qualifying Exigency
  5. WH-385 Military Caregiver Leave of a Current Service Member
  6. WH-385-V Military Caregiver Leave of a Veteran

Notices

  1. FMLA General Notice Information
  2. WH-381 - Rights and Responsibilities
  3. WH-382 Designation Notice
  4. Wisconsin FMLA 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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