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FMLA

Family and medical leave is provided to eligible employees for any of the events or conditions listed below. Leave taken for these events must be reported as family and medical leave.

  • The birth of a child and the care of the newborn.
  • The placement of a child with an employee in connection with the adoption or state-approved foster care of a child.
  • The serious health condition of a child, parent, or spouse of the employee.
  • A serious health condition of the employee.
  • Qualifying Exigency Leave.  Applicable to an employee whose son, daughter, spouse or parent who are on active duty or have been notified of an impending call to active duty. 

An eligible employee is entitled to a maximum of 12 weeks of approved family and medical leave in a twelve month period, as defined in this policy. (The employee may request a leave of less than 12 weeks or intermittent leave.)

FMLA Policy and Procedures (link to policy) http://www.wku.edu/Dept/Support/HR/AAAweb/Policy%20Family%20Medical%20Leave.htm

FMLA FORMS:

FMLA Leave Request Form – Complete this form to request Family and Medical Leave and download the Notice of Eligibility and Rights & Responsibilities

Health Care Provider Certification (for employee) – Download this form and take to your health care provider for certification of your serious health condition

Health Care Provider Certification (for family member) – Download this form and take your health care provider for certification of your family member’s serious health condition

Qualifying Exigency Certification (for military member) – Download and complete this form if applying for Military Family Leave

Health Care Provider Certification (for military member) – Download this form and take to your health care provider for certification of the serious injury or illness of a covered service member for Military Family Leave