FMLA: For Employees
Last Modified: 2016-12-21
Below are some resources to assist you as you move through the FMLA application process. If you have questions about the FMLA process, you may contact your FMLA Coordinator at 343-4125 or email firstname.lastname@example.org.
Also see these webpages with information for birth of a child:
- How to apply for FMLA/TMLA for Birth of Child.
- How to apply for FMLA/TMLA if you are experiencing Complications Prior to Birth of Child.
Step 1: FMLA Request and Receive Eligibility Determination
You may complete the online Medical Leave Request form to request FMLA or Non-FMLA leave.
Step 2: Complete Medical Certification Form
The FMLA coordinator will provide this form upon submission of your FMLA request and eligibility determination. This form must be submitted to Human Resources.
Step 3: FMLA Approval or Denial
The FMLA Coordinator will provide your leave approval letter and additional materials upon completion of steps 1 and 2 above.
If you are a privileged provider or hold clinical privileges, Provider Support Services (PSS) must be notified of your FMLA approval. Please send an email to email@example.com with your full name and dates of absence once you have received your approval letter.