FMLA Process and Forms

Policy

• Staff Handbook (see Time Away From Work section)
• Faculty Handbook

Process

Step 1: If you expect to be out for at least 3 days for a serious health condition related to yourself or a family member, you will need to have your physician complete a Physician Certification form prior to your leave start date (when possible) and fax it to Human Resources at 507-786-3960.

Step 2: Human Resources will determine eligibility and send an FMLA packet containing required notices, a description of pay during leave, and any additional necessary information to the employee’s home address on file.

Step 3: Prior to returning to work, the employee must have a physician complete the Fitness for Duty form and return it to Human Resources prior to returning to work. Note: The employee may not return to work until this form is received by Human Resources.

Who to Notify

• Supervisor
• Human Resources at hrstaff@stolaf.edu or 507-786-3068
• Provost Office (applies to faculty only) at doc@stolaf.edu or 507-786-3004

Forms

• Physician’s Certification – Employee’s Serious Health Condition^1,2
• Physician’s Certification – Family Member’s Serious Health Condition
• Fitness for Duty – Faculty
• Fitness for Duty – Staff
• Fitness for Duty – Non-FMLA (applies to employees who do not meet the FMLA eligibility requirements)

¹ To allow the physician to better assess your condition, we advise you to provide them with a copy of your job description. Please email hrstaff@stolaf.edu to obtain a copy.

² If your leave is related to maternity, you may provide a doctor’s note confirming the pregnancy and expected due date, in place of the Physician’s Certification form.