Family and Medical Leave Act (FMLA)

The Family and Medical Leave Act (FMLA) provides an entitlement of up to 12 weeks of job-protected, unpaid leave during any 12-month period to eligible, covered employees for the following reasons: 1) birth and care of the eligible employee’s child, or placement for adoption or foster care of a child with the employee; 2) care of an immediate family member (spouse, child, parent) who has a serious health condition; or 3) care of the employee’s own serious health condition. It also requires that employee’s group health benefits be maintained during the leave. The FMLA is administered by the Employment Standards Administration’s Wage and Hour Division within the U.S. Department of Labor.

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FMLA Resources

  • Form WH-380-E: Certification of Health Care Provider for Employee’s Serious Health Condition (FMLA) — Expires 12/31/2011
  • Form WH-380-F: Certification of Health Care Provider for Family Member’s Serious Health Condition (FMLA) — Expires 12/31/2011
  • Form WH-381: Notice of Eligibility and Rights & Responsibilities (FMLA) — Expires 12/31/2011
  • Form WH-382: Designation Notice (FMLA) — Expires 12/31/2011