IS-2006 Family and Medical Leave (Menu)

Introduction
1. Eligible Employees
2. Events Eligible for Unpaid FMLA Leave
3. Notice to Employees
4. Request for Unpaid FMLA Leave
5. Amount of Unpaid FMLA Leave
6. Workers Compensation
7. Return to Work
8. Benefits Coverage While on Unpaid FMLA Leave
9. Record Keeping Requirements
10. Confidentiality of Medical Records

1. Requesting Family and Medical Leave

• Certification of HC Provider for Employee
• Certification of HC Provider for Family Member
• Employer Response to Employee

• FMLA Leave Request Memo (template)
• IS-2093, Workers' Compensation

• Employee Handbook 8.06, Medical Leave
• Employee Handbook 8.07, Family Leave
• Family and Medical Leave Act
• FMLA Employee Rights and Responsibilities