Family Medical Leave Act (FMLA)

Eligible employees are entitled to a combined total of 12 weeks of Federal FMLA and FFCRA in a rolling-12 month period.
For example, if an employee used 6 weeks of FMLA in November of 2019, they may be eligible for another 6 weeks of FMLA and/or FFCRA until November 2020, at which time the 12 week rolling period would reset.


FMLA Policy and Forms

  1. FMLA Policy Revised 2016
  2. FMLA_Employee_Checklist
  3. WH-380-F Your Family Members Health Condition (Revised 06/2020)
  4. WH-380-F Your Own Health Condition (Revised 06/2020)
  5. WH-384 Military Leave (Revised 06/2020)
  6. WH-385 Military Injury (Revised 06/2020)
  7. WH-385-V Military Caregiver (Revised 06/2020)
  8. EAP- Flyer
  9. FMLA Leave Request