Family and Medical Leave Act (FMLA)

What is the FMLA? The Family Medical Leave Act of 1993 is a federal law that entitles employees to job-protected unpaid leave from work for up to 12 weeks in any 12 month period for the following reasons:

  • The care of a child after birth or adoption or placement of a child
  • The serious health condition of the employee
  • The serious health condition of a child, spouse, domestic partner, or parent

FMLA also includes a special leave entitlement that permits eligible employees to take up to 26 weeks of leave to care for a covered servicemember during a single 12-month period.

FMLA Resources:

FMLA Poster

FMLA Employee Guide

FMLA Forms:

WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition

WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition

WH-384 Certification of Qualifying Exigency For Military Family Leave

WH-385 Certification for Serious Injury or Illness of Current Servicemember -- for Military Family Leave

For more information on FMLA leave, or to request a leave under FMLA, please contact Kaitlin Herrewyn, HR Generalist, at (203) 977-4456 or email.