Sick Family Leave FMLA may be used for applicable intermittent absences and/or for an extended period of time away from work of three or more consecutive days due to a family member's illness/injury. Family member is defined as: spouse, child, step-child, foster child, child of domestic partner, parent, or sibling. Employees earn five (5) Sick Family days after 30 calendar days of service. Once Sick Family Leave is exhausted, Annual Leave can be used. Once Annual Leave is exhausted, the remaining time off work will be unpaid leave. For more information on unpaid leave, please call the Office of Human Resources.
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Review the FMLA Notice to OPEIU Employees and Employee Rights and Responsibilities under the FMLA.
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Complete one of the forms below, based on your reason for the leave:
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Request for FMLA Leave form
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Request for Military Caregiver Leave form
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Request for Military Exigency Leave form
- Have your family member's healthcare provider complete the Certification Form for Family Member's Serious Health Condition. (Note: Healthcare providers may charge a fee to complete forms necessary for FMLA certification.)
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Return all completed forms to the Office of Human Resources c/o Benefits Manager for review. A designation notice will be sent to you with approval determination and further instructions on leave continuation.
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Submit time off from work via using the reason codes: Sick Family; Sick Family (FMLA); Annual Leave; Annual Leave (FMLA); Approved Absence or Unpaid FMLA. For more information on unpaid leave, please refer to the , Article 14: Leaves of Absence without Pay or call the Office of Human Resources.
A serious health condition is defined by the Family and Medical Leave Act (FMLA) as an illness, injury, impairment, or physical or mental condition that involves any one of the following:
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An overnight stay in a hospital, hospice, or residential medical care facility to receive inpatient care, including incapacity or treatment in connection with such a stay;
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A period of incapacity of more than three consecutive calendar days, including any subsequent treatment or period of incapacity relating to the condition, that also involves one of the following: Treatment two or more times by a healthcare provider; or treatment by a healthcare provider on at least one occasion which results in a regimen of continuing treatment under the supervision of the healthcare provider;
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Any period of incapacity due to pregnancy, or for prenatal care;
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A chronic condition that requires periodic visits for treatment by a healthcare provider; continues over an extended period of time (including recurring episodes of an underlying condition); and may cause episodic rather than a continuing period of incapacity (e.g., asthma, diabetes, epilepsy, etc.);
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Incapacity of permanent or long-term nature due to a condition for which treatment may not be effective. The patient must be under the continuing supervision of the healthcare provider even if not receiving active treatment (e.g., Alzheimer's, a severe stroke, or the terminal stages of a disease); or
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Any period of absence to receive multiple treatments by the healthcare provider for at least one of the following: Restorative surgery after an accident or other injury; or for a condition that would likely result in a period of incapacity of more than three consecutive calendar days in absence of medical intervention (e.g., chemotherapy for cancer, physical therapy for severe arthritis, or dialysis for kidney disease).