Floyd County Public Schools

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.

Eligibility

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 the birth of a child/adoption;
• A return-to-work certification if leave is the employee's 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 the employee's 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.

FMLA Packet

The FMLA packet is provided to assist employees in the process of applying for FMLA. All documents included in the FMLA packet are provided below. Completed forms should 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 Checklist

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