{"id":849,"date":"2013-08-08T08:33:50","date_gmt":"2013-08-08T12:33:50","guid":{"rendered":"http:\/\/iblog.dearbornschools.org\/humanresources\/?page_id=849"},"modified":"2021-02-03T09:07:47","modified_gmt":"2021-02-03T14:07:47","slug":"employee-leaves-fmla","status":"publish","type":"page","link":"https:\/\/iblog.dearbornschools.org\/humanresources\/employee-leaves-fmla\/","title":{"rendered":"Employee Leaves \/ FMLA\/ADA\/ADAA\/LTD\/STD"},"content":{"rendered":"<p>NOTE:\u00a0 ELIGIBILITY FOR BENEFITS UNDER THE FEDERAL FAMILY MEDICAL LEAVE ACT (FMLA) REQUIRES THAT EMPLOYEES HAVE WORKED A MININUM OF 1,250 HOURS IN THE YEAR PRIOR TO THE LEAVE<\/p>\n<p>FEDERAL LAW FOR ELIGIBLE EMPLOYEES ALLOWS FOR UP TO 12 WEEKS OF UNPAID LEAVE, CONTINUATION OF HEALTH INSURANCE BENEFITS AND THE RIGHT TO RETURN TO YOUR JOB<\/p>\n<p>FEDERAL LAW DOES NOT PROVIDE PAID TIME OFF \u2013 PAID TIME OFF IS COVERED BY UNION COLLECTIVE BARGAINING AGREEMENT AND DISTRICT POLICY<\/p>\n<p><strong>United States Department of Labor Links:<\/strong><\/p>\n<p><a href=\"https:\/\/www.dol.gov\/whd\/regs\/compliance\/posters\/fmlaen.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Employee Rights and Responsibilities Under The Family Medical Leave Act (WHD Publication 1420<\/a><\/p>\n<p><a href=\"https:\/\/www.dol.gov\/agencies\/whd\/fmla\/factsheets\">Federal Department of Labor FMLA Overview and Fact Sheets<\/a><\/p>\n<p><a href=\"https:\/\/www.dol.gov\/whd\/fmla\/spouse\/\" target=\"_blank\" rel=\"noopener noreferrer\">2015 Revised rule on &#8220;Definition of Spouse&#8221;<\/a><\/p>\n<p><strong>Dearborn Public Schools Procedures, Policies and Administrative Guidelines:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/humanresources.dearbornschools.org\/wp-content\/uploads\/sites\/103\/2013\/08\/01-FMLA-Procedures-052413.pdf\">Districts procedures for the implementation of the Family Medical Leave Act<\/a> (Download Document)<\/li>\n<li><a href=\"https:\/\/go.boarddocs.com\/mi\/drb\/Board.nsf\/Public?open&amp;id=policies#\" target=\"_blank\" rel=\"noopener noreferrer\">Link for Policy\u00a03430.01<\/a>\u00a0Professional Staff Family Leave of Absence<\/li>\n<li><a href=\"https:\/\/go.boarddocs.com\/mi\/drb\/Board.nsf\/Public?open&amp;id=policies#\" target=\"_blank\" rel=\"noopener noreferrer\">Link 3430.01A<\/a>\u00a0Professional Staff Family Leave Guideline FMLA special school provisions<\/li>\n<li><a href=\"https:\/\/go.boarddocs.com\/mi\/drb\/Board.nsf\/Public?open&amp;id=policies#\">Link 3430.01B<\/a> Professional Staff Leave Guideline<\/li>\n<li><a href=\"https:\/\/go.boarddocs.com\/mi\/drb\/Board.nsf\/Public?open&amp;id=policies#\" target=\"_blank\" rel=\"noopener noreferrer\">Link for Policy 4430.01<\/a>\u00a0Support Staff Family Leave of Absence<\/li>\n<li><a href=\"https:\/\/go.boarddocs.com\/mi\/drb\/Board.nsf\/Public?open&amp;id=policies#\" target=\"_blank\" rel=\"noopener noreferrer\">Link 3430.01B<\/a>\u00a0Support Staff Family Leave Guideline<\/li>\n<\/ul>\n<h3>Dearborn\u00a0Public Schools FMLA , Paid Sick Leave, ADA and ADAA forms:<\/h3>\n<ul>\n<li><a href=\"https:\/\/humanresources.dearbornschools.org\/wp-content\/uploads\/sites\/103\/2020\/07\/DFSE-Sick-Bank-Application-2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DFSE Central Sick Bank Application <\/a><\/li>\n<li><a href=\"https:\/\/humanresources.dearbornschools.org\/wp-content\/uploads\/sites\/103\/2013\/08\/DFT-sickbank-app.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DFT Central Sick Leave Bank Application<\/a><\/li>\n<li><a href=\"https:\/\/humanresources.dearbornschools.org\/wp-content\/uploads\/sites\/103\/2018\/05\/04-FMLARequestForm343001F1July12015-2.alt5_.pdf\">District Family Leave Request Form 3430 01 F1 July 2015<\/a><\/li>\n<li><a href=\"https:\/\/humanresources.dearbornschools.org\/wp-content\/uploads\/sites\/103\/2018\/05\/04-FMLARequestForm343001F1July12015-2.alt5_.pdf\">District Family Leave Request Form 4430 01 F1 July 2015<\/a><\/li>\n<li>Link to certification of employee serious health condition form (WH 380-E) <a href=\"https:\/\/www.dol.gov\/whd\/forms\/WH-380-E.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.dol.gov\/whd\/forms\/WH-380-E.pdf<\/a><\/li>\n<li>Link to certification of family member\u2019s serious health condition (WH 380-F) <a href=\"https:\/\/www.dol.gov\/whd\/forms\/WH-380-F.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.dol.gov\/whd\/forms\/WH-380-F.pdf<\/a><\/li>\n<li>Link to certification of qualifying exigency for military family leave (WH 384)<br \/><a href=\"https:\/\/www.dol.gov\/whd\/forms\/WH-384.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.dol.gov\/whd\/forms\/WH-384.pdf<\/a><\/li>\n<li>Link to certification of serious illness of injury of a military service member (WH 385)<br \/><a href=\"https:\/\/www.dol.gov\/whd\/forms\/WH-385.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.dol.gov\/whd\/forms\/WH-385.pdf<\/a><\/li>\n<li><a href=\"https:\/\/humanresources.dearbornschools.org\/wp-content\/uploads\/sites\/103\/2021\/02\/ADA-Phys-verificaton-Dearborn-Google-Docs.pdf\">ADA-Phys-verrification-Dearborn &#8211; Google Docs<\/a><\/li>\n<\/ul>\n<h3>Reliance Long Term and Short Term Disability forms:<\/h3>\n<h3><a href=\"https:\/\/rslclaims.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/rslclaims.com\/<\/a><\/h3>\n<p>Questions???\u00a0( send e-mail to Robert Seeterlin &#8211;\u00a0<a href=\"mailto:SeeterR@dearborn.k12.mi.us\">SeeterR@dearbornschools.org<\/a>)<\/p>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>NOTE:\u00a0 ELIGIBILITY FOR BENEFITS UNDER THE FEDERAL FAMILY MEDICAL LEAVE ACT (FMLA) REQUIRES THAT EMPLOYEES HAVE WORKED A MININUM OF 1,250 HOURS IN THE YEAR PRIOR TO THE LEAVE FEDERAL LAW FOR ELIGIBLE EMPLOYEES ALLOWS FOR UP TO 12 WEEKS OF UNPAID LEAVE, CONTINUATION OF HEALTH INSURANCE BENEFITS AND THE RIGHT TO RETURN TO YOUR &#8230; <a title=\"Employee Leaves \/ FMLA\/ADA\/ADAA\/LTD\/STD\" class=\"read-more\" href=\"https:\/\/iblog.dearbornschools.org\/humanresources\/employee-leaves-fmla\/\" aria-label=\"Read more about Employee Leaves \/ FMLA\/ADA\/ADAA\/LTD\/STD\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"generate_page_header":"","footnotes":""},"class_list":["post-849","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/pages\/849","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/comments?post=849"}],"version-history":[{"count":2,"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/pages\/849\/revisions"}],"predecessor-version":[{"id":6190,"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/pages\/849\/revisions\/6190"}],"wp:attachment":[{"href":"https:\/\/iblog.dearbornschools.org\/humanresources\/wp-json\/wp\/v2\/media?parent=849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}