Family & Medical Leave Act (FMLA)

FMLA Eligibility

An eligible employee who has completed one year of employment and has worked at least 1,250 hours in the past 12 months, and who works at a location that has at least 50 employees of County employer within a 75 mile radius may request an unpaid leave of absence for a period not to exceed 12 weeks (or up to 26 weeks of military caregiver leave) in any 12 month period measured forward from the date the employee’s FMLA leave first begins. The request should be in writing, must give the reason for the request and must give the expected duration of the leave.

The leave may be taken for the following reasons:

• A serious health condition that makes the employee unable to perform the functions of his/her position;
• In order to care for the employee’s spouse, child or parent if the person being cared for has a serious health condition;
• Because of the birth of a child of the employee, and in order to care for the child within 12 months of the child’s birth;
• Because of the placement of a child with the employee for adoption or foster care, and in order to care for the child within 12 months of the child’s placement.
• For any qualifying exigency arising out of the fact that a spouse, child or parent is a military member on covered active duty or on call to covered active-duty status.
• To care for a covered service member with a serious injury or illness.

Applying For FMLA

• Log in to fmlasource.com and click on Check Status.
• Choose the leave you want to report and select Report Time.
• Enter the date and time of your planned absence and click the Confirm button. That’s all there is to it!

Forms & Fact Sheets