FMLA Process and Forms

Policy

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

Forms

To allow the physician to better assess your condition, we advise you to provide them with a copy of your job description, found here.

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.