Family and Medical Leave Act (FMLA)
The Family and Medical Leave Act (FMLA) provides up to 12 work weeks or 60 days of unpaid, job-protected leave to eligible employees for specified family and medical reasons.
Qualifying Reasons for FMLA
- Birth and care of a newborn child;
- Adoption or foster placement of a child;
- Serious health condition that makes the employee unable to perform the functions of their job;
- To care for the employee’s spouse, child, or parent with a serious health condition; and
- Military Family Leave for a qualifying exigency to be with an employee's spouse, parent or child who is an active service member or has an impending call to active duty in support of a contingency operation
FMLA provides for up to 26 weeks of Military Family Leave for an employee to care for an injured or ill service member who is the employee's spouse, child, parent, or next of kin.
Leave under this policy is unpaid although employees with earned sick, personal, and/or annual leave are required to use this paid leave while on Family and Medical Leave.
To be eligible for FMLA, an employee must have at least 12 months of service with the Floyd County Public School Division and have worked at least 1250 hours during the previous 12-month period.
Calculation of Leave Year
Floyd County Public Schools (FCPS) measures the 12-month period as a rolling 12-month period measured backward from the date an employee uses any FMLA leave under the policy. The 12-month period will begin with the first use of FMLA in the previous 12-months.
Application for FMLA & Medical Certification
- 30 days advance notice when the leave is foreseeable;
- Medical certification to support the request for leave because of a serious health condition, except for birth of a child/adoption
- A return-to-work certification if leave is for your own serious health condition.
Job Benefits & Protection
For the duration of FMLA leave, health insurance benefits will be continued on the same terms as if the employee were working. The employee is responsible for paying their portion of the insurance costs. Upon your return from approved leave, the employee will be restored to their original position or an equivalent position with equivalent pay, benefits and other employment terms.
The FMLA packet is provided to assist employees in the process of applying for FMLA. All documents of the FMLA packet are provided below. Completed forms must be provided to the Payroll/Benefits Office at least 30 days before the leave is to begin, if possible. If leave is unforeseeable, FMLA forms should be submitted as soon as possible under the circumstances. For questions, please contact the Payroll/Benefits Office at (540) 745-9400.
FMLA Employee Rights & Responsibilities
FCPS FMLA Policy
FCPS Leave Policy
FCPS Non-School Employment Policy
Form - Request to Use FMLA
Form - Medical Certification for Employee's Serious Health Condition/Birth of a Child
Form - Medical Certification for Family Member's Serious Health Condition
Form – Medical Certification for Military Family Leave for Qualifying Exigency
Form – Medical Certification for Serious Injury or Illness of Current Service Member for Military Caregiver Leave
Form – Medical Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
Form – Return-to-Work Certification
Form – Request to Enroll New Dependent in Health Insurance for Birth of a Child