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FMLA Application (PDF)
The
Family Care and Medical Leave Act, established February 1, 1994, provides
for 12 weeks of unpaid leave per fiscal year with the continuation of
health benefits. Benefits covered include health, dental and vision.
No life insurance or disability will be covered.
The family care and medical leave is for employees who have worked 1,250
hours in the previous fiscal year (approximately a 90% contract). Generally,
the family care and medical leave is unpaid and can be taken in situations
which include child rearing and a serious health condition of an employee
or immediate family member. You may be required to provide advance leave
notice and medical certification. Taking of leave may be denied if requirements
are not met.
Important to remember is that the employee will be required to reimburse
the District for benefits incurred if they do not return to work at
the end of the leave.
Reasons for family medical and care leave include:
Two exceptions to eligibility are "key employees" (Superintendent, Deputy Superintendents, Assistant Superintendents, etc.) and when both parents of a child are employed by the same employer (District).
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Copyright © 2012 Contra Costa County Superintendent of Schools.
77 Santa Barbara Road, Pleasant Hill, CA 94523