The Family and Medical Leave Act of 1993 (FMLA) entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons. The FMLA is intended ”to balance the demands of the workplace with the needs of families.” The Act sets national standards for employers when providing leave for such purposes. The Act allows eligible employees to take up to 12 workweeks of unpaid leave during any 12-month period to attend to the serious health condition of the employee, parent, spouse or child, or for pregnancy or care of a newborn child, or for adoption or foster care of a child.

• CPS Family Medical Leave Policy

• CPS FMLA Process Flow Chart

• CPS FAQ Frequently Asked Questions

• US Department of Labor FMLA Frequently Asked Questions

Employee FMLA Forms:

• Carrollton Public Schools Family and Medical Leave Act Request Form (Google Form)

• Certification of Health Care Provider for Employee’s Serious Health Condition (WH-380-E)

• Certification of Health Care Provider for Family Member’s Serious Health Condition (WH-380-F)

Carrollton Public School employees may be entitled to an FMLA leave of absence, but note that an FMLA leave of absence runs at the same time to other paid or unpaid leaves of absence. An FMLA leave of absence is not an extension of an employee’s paid time off.

In order to request an FMLA leave of absence, the employee will request the leave by completing the Carrollton Public Schools Family and Medical Leave Request form using the link above (Google Form). In addition, the employee is required to provide medical documentation from their doctor certifying the need for the leave by downloading the forms above

1) Certification of Health Care Provider or Employee’s Serious Health Condition (WH-380-E) or 2) Certification of Health Care Provider for Family Member’s Serious Health Condition (WH-380-F). The medical certification form must be returned to the Saginaw ISD Hr Department within fifteen (15) days from the notice of leave. This form can be faxed to (989)249-8756. Once the SISD HR Department receives the employee request for FMLA leaves, it will send to the employee via email: 

1) Department of labor Notice of Eligibility and Rights & Responsibilities (WH-381); 

2) an additional blank copy of the Certification of Health Care Provider described above; and 

3) other pertinent information. This communication is not an approval of the leave.

After the SISD HR Department receives the Certification of Health Care Provider form, it will send the employee via email an FMLA approval or FMLA Denial letter along with the Department of Labor FMLA Designation Form (WH-382). If the leave is approved, the SISD Hr Department will enter into Skyward all paid and unpaid time off. The employee is still responsible to notify his or her supervisor of absences through the normal protocol for reporting absences (e.g., willsub, call, text, etc.)