Family Medical Leave Act (FMLA)

  • Family Medical Leave Act (FMLA)

     

     For questions regarding your FMLA eligibility contact:

     Terri Cothren, Benefits Coordinator, at 452-2000 x11382

    FMLA & AFLA Rights and Responsibilities FNSBSD
    This document explains the School District's and employee's rights and responsibilities under FMLA and AFLA.

    Employee Guide Regarding FMLA
    Employees may find this guide helpful for an upcoming leave for medical reasons.

    Physician Certification Form for FMLA- Employee 
    This form should be completed and returned to Human Resources if you are requiring leave for yourself due to a serious injury or serious health condition.

    Physician Certification Form for FMLA - Family Member
    This form should be completed and returned to Human Resources if you are requiring leave for yourself due to a family member's serious injury or serious health condition.

    Fitness For Duty

    If the employee has been on leave due to their own serious illness of injury, the Fitness for Duty form must be completed by a medical provider and submitted to Human Resources PRIOR to being restored to employment.