FMLA Packet of Information (Employee's Condition)

Overview

The Family and Medical Leave Act (FMLA) packet is designed to provide healthcare providers with the necessary information to support an employee’s request for medical leave. This ensures that the employee’s condition meets the criteria for FMLA leave.

FMLA Packet of Information (Employee's Condition)

  1. Cover Letter to Employee: This letter provides an overview of the FMLA process and instructions on how to complete and submit the necessary forms.

  2. Employee Rights Under the Family and Medical Leave Act:  This document outlines the employee’s rights under the FMLA, including eligibility criteria, leave entitlements, and job protection.

  3. Medical Certification Form: This form must be completed by the healthcare provider to certify the employee’s serious health condition and the need for leave.

  4. Employee’s Position Description: This link takes you to log into Workday to View Position Restrictions, type in your UIN into the Position field and press Enter.  Press OK.  Click the PDF icon on the upper right hand side for a printable copy of your job description. This document describes the employee’s job duties and responsibilities, which helps the healthcare provider understand the physical and mental demands of the job.
     
  5. ADA Packet of Information: These documents provide information about the Americans with Disabilities Act (ADA) and include forms for requesting reasonable accommodations in case the employee’s condition qualifies as a disability.
Instructions for the Employee

This packet contains important information and forms related to your request for FMLA leave. Please follow these steps:

  1. Review the Information: Carefully read through all the documents in this packet to understand your rights and responsibilities under the FMLA.

  2. Consult Your Physician: Take the Medical Certification Form, your Position Description, and ADA Packet Documents to your healthcare provider. They will need to complete the form based on their knowledge of your medical condition.

  3. Complete the Forms: Ensure that all sections of the Medical Certification Form are filled out accurately by your healthcare provider.

  4. Return the Paperwork: Once the forms are completed, return them to your HR Professional as soon as possible to avoid any delays in processing your leave request.

If you have any questions or need further assistance, please Ask an FMLA/Parental Leave Question.

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FMLA/Parental Leave
The Family and Medical Leave Act (FMLA) is a benefit that allows qualified employees to have up to 12 weeks of unpaid leave per fiscal year. Employees on maternity or paternity leave that do not qualify for FMLA qualify for Parental Leave.