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Family and Medical Leave

Family Medical Leave Act (FMLA) became effective in 1993 and entitles eligible employees to take up to 12 weeks (60 days) of unpaid, job-protected leave in a 12 month period for specified family and medical reasons. 

Reasons for taking FMLA leave include:

  • your own serious health condition
  • to care for your child after birth, or placement for adoption or foster care
  • to care for your spouse, son, daughter, or parent who has a serious health condition
  • because of a qualifying exigency arising out of the fact that your spouse, son, daughter or parent is on active duty or call to active duty status in support of a contingency operation as a member of the National Guard or Reserves
  • because you are the spouse, son, daughter, parent or next of kin of a covered servicemember with a serious injury or illness.
For more information, check out the Employee Rights and Responsibilities publication by the U.S. Department of Labor.

Required Forms

Along with the District's Leave Request form, for medical related FMLA leaves staff should submit the appropriate Certification Form, found below, which is filled out by a physician and should be turned in with the District Leave Request form.

For military related leaves, please contact Yoojin Woodward at to obtain the appropriate form.

All questions on leaves and FMLA leaves should be directed to Yoojin Woodward at
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