Leave Options

FMLA Information and Documents

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

FMLA Forms

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

FMLA Military Forms

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

PTHL Information and Documents

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

The Family Medical Leave Act of 1993 (FMLA) protects employees while they are away from their job due to one of the following reasons: personal illness, child birth, adoption, foster care, care of a spouse, care of a minor dependent child, care of a disabled adult child or care of a parent. Employees must meet all of the criteria set forth by the Federal Government in order to utilize FMLA.

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.

Contact the Benefits Office if you have a need to take FMLA or PTHL.