跳到内容

Family Medical 离开 (FMLA)

Family Medical 离开 (FMLA) is an unpaid leave granted to eligible employees for up to 12 weeks during a 12-month period for a qualifying reason, 包括:

  • The birth or care of a newborn child
  • Placement of a child for adoption or foster care and care for the newly placed child
  • To care for a spouse, domestic partner, child, or parent with a serious 治愈th condition
  • The employee’s own serious 治愈th condition
  • To care for a service/military family member recovering from a serious injury sustained in the line of duty
  • A service/military family member is, or will be, deployed to a foreign country

You can reference the FMLA policy on the University’s policies website for full details.

查看完整策略

Requesting Family Medical 离开

Request FMLA by completing the applicable medical certification form below and returning to University of Rochester’s 离开 Administration department within 15 days. 离开 Administration is asking anyone submitting FMLA forms and documents to email HR_FMLA@ur.罗彻斯特.edu 或传真至 (585) 276-1361.

Download the medical certification form from the official U.S. Department of Labor website below.

Medical certification forms

If you have trouble viewing the PDFs below, your PDF viewer may not be able to display these types of documents. You can download the files and open them with the latest version of Adobe Reader.

If unable to print a form, complete this request form

当处理, 离开 Administration sends an approval/denial letter to the employee, 主管, and Business Partner. When FMLA time is needed, follow department/unit call off procedures, be sure to indicate that the absence is FMLA. Use of FMLA time is confidential and notice that call off is FMLA should be to 主管/designee only.

有用的资源

In addition to the information you’ll find in the official policy, these documents and guides might be helpful to you.

Return to the top of the page