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Family Leave Forms

  • For Faculty, Staff

Family Leave provides job-protected leave (unpaid) for a maximum of twelve weeks in a “rolling” 12-month period for regular employees who have completed 12 months of benefits eligible employment for:
-the employee’s serious health condition
-the serious health condition of an employee’s spouse, son, daughter or parent
-incapacity due to pregnancy, prenatal medical care or childbirth
-or to care for the employee’s child after birth, placement for adoption or foster care.

Note: The university requires all appropriate paid leave entitlements to be exhausted concurrently with Family Leave. Additional information like the definition of a serious health condition, the use of intermittent leave, military family leave, pay status and benefits eligibility may be found in Benefits Section of the Employee Handbook.

-**Employee Rights and Responsibilities - English:** Summary of rights and responsibilities.
-**Employee Rights and Responsibilities - Spanish:** Summary of rights and responsibilities.
-**FMLA Employee Forms Packet:** To be used if an employee is requesting leave for their own serious health condition.
-**FMLA Family Member Forms Packet:** To be used if requesting leave to care for a family member.


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