• If you are in need of a medical leave, complete this leave request form and submit it electronically. The form will be forwarded to FWPS's Human Resources Department. AFTER SUBMISSION, print out the appropriate medical form for your physician to complete. It is your responsibility to ensure the medical form is completed and returned to Human Resources 30 in advance of your medical leave request.
     
    Family Medical Leave(SELF)click here for form
    The Family and Medical Leave Act (FMLA) provides employees who meet the federal eligibility requirements, up to 12 workweeks or 60 workdays of unpaid, job-protected leave a year for the diagnosis of a serious medical condition for you, a spouse, parent or child, birth of a child, adoption or placement of a foster child and/or a qualifying exigency that arises from an employee's spouse, child or parent who is on active duty or has been called to duty for the National Guard or Reserve in support of a contingency military operation. Please review the Family Medical Leave section of the Employee Leave page for instructions on eligibility and how to request this leave.  

    Family Medical Leave(FAMILY MEMBER)Click here for form
    The Family and Medical Leave Act (FMLA) provides employees who meet the federal eligibility requirements, up to 12 workweeks or 60 workdays of unpaid, job-protected leave a year for the diagnosis of a serious medical condition for you, a spouse, parent or child, birth of a child, adoption or placement of a foster child and/or a qualifying exigency that arises from an employee's spouse, child or parent who is on active duty or has been called to duty for the National Guard or Reserve in support of a contingency military operation. Please review the Family Medical Leave section of the Employee Leave page for instructions on eligibility and how to request this leave. 
     
    The District understands that employees will need time away from work, for many different types of situations. Whether it’s time away to care for a new child, recover from a serious health condition, care for an ill family member, bereavement or time away for personal reasons. We encourage employees to review their Collective Bargaining Agreement for the leave provision that best suites your needs. You may also require accommodations for medical restrictions when returning from leave or for a temporary or permanent disability. The Employee Leave and Accommodations Information page will help you with frequently asked questions and provide you with a start in making your request. Please review this information carefully and contact Tara Lofton at tlofton@fwps.org with any further questions.  

     

    The Family and Medical Leave Act (FMLA), a federal law, protects you from negative impacts to your job when you take time off or a leave of absence for any of the following reasons:

    • A serious health condition, either yours or a family member’s
    • Prenatal medical care or incapacity due to pregnancy and/or delivery
    • Time to bond with your new baby or newly placed adopted or foster child
    • Qualifying activities (exigencies) related to a family member’s military active duty
    • A serious injury or illness of a family member who is a current member of the armed forces or a veteran

     



    Additional information regarding FMLA 

    FMLA Fact Sheet  ⇔ Covers the major requirements of FMLA and updates to the FMLA regulations.

    FMLA Employee Guide  ⇔ Summarizes FMLA provisions and regulations and provides answers to the most frequently asked questions.