Leave Options - FMLA/PTHL

The Family Medical Leave Act of 1993 (FMLA)  requires covered employers to provide up to 12 weeks of unpaid, job-protected leave to eligible employees for the following reasons: 

• for Incapacity due to pregnancy, prenatal medical care or child birth
• to care for the employee's child after birth, or placement for adoption or foster care
• to care for the employee's spouse, son, daughter or parent, who has a serious health condition
• for a serious health condition that makes the employee unable to preform the employee's job

Employees are eligible if they have worked for a covered employer for at least 12 months, have 1,250 hours of service in the previous 12 months, and if at least 50 employees are employed by the employer within 75 miles. 

• FMLA Employee Request Form
• FMLA Employee Illness Medical Certification Form
• FMLA Care of Qualified Family Member Medical Certification Form 

• FMLA Guidelines Appendix C
• FMLA GCC Board Policy
• FMLA General Information for Employees

 

Part-Time Health Leave - Part-time classified employees may be eligible to utilize the District's Part-Time Health Leave policy (PTHL). This option is an alternative for those who do not meet the FMLA criteria. This leave option can only be used for an employee's serious health condition or child birth. 

• PTHL Employee Request Form
• PTHL Medical Certification Form
• PTHL Policy for Non-Exempt Classified Personnel

MLA Military Forms

• FMLA Military Exigency Medical Certification Form
• FMLA Care of Service Member Certification Form

Contact Information - Jennifer Lumley, 913-993-6497, jenniferlumley@smsd.org

Bereavement Leave - Certified Staff see page 25

Bereavement Leave - Classified Staff see page 23

Leave of Absence - Certified Staff  see page 27