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FMLA Employee Responsibilities

As an HCCS employee, the following is a list of your responsibilities before and during your family or medical leave.  For your convenience, utilize the FMLA Employee Checklist

  1. Provide notice to your supervisor of the need for leave.
    • 30 days notice for leave that is foreseeable
    • As soon as practical (usually within 2 business days) for leave that is unforeseeable
    • Comply with all HCCS rules for requesting leave, including completion of the Request for Family or Medical Leave form.
  2. Advise your supervisor if leave is to be needed intermittently or on a reduced leave schedule basis. All intermittent or reduced schedule leaves are subject to supervisory approval. Work with your supervisor to develop a specific schedule for absences during intermittent leave. This schedule must be submitted with your original Request for Family or Medical Leave (HR-XXX) for approval.
  3. Provide medical certification for leave taken as a result of a serious health condition. Completed form should be returned to HR-Benefits.
  4. Comply with arrangements to make group health benefit co-payments
  5. Periodically advise your supervisor of your intent to return to work at the conclusion of leave.
  6. Notify your supervisor of any change in the circumstances for which leave is being taken.
  7. If leave was taken for your own serious health condition, provide your supervisor and Human Resources with an unconditional medical release (completed by your health care provider) prior to your return to work.
  8. Familiarize yourself with the Family and Medical Leave Act Frequently Asked Questions (a link in this Benefits channel) Contact HR Benefits (x82255, opt. 2-leaves) if you have any questions about Family and Medical Leaves after reviewing information provided here.