{"id":19563,"date":"2025-04-16T15:50:37","date_gmt":"2025-04-16T20:50:37","guid":{"rendered":"https:\/\/wp.stolaf.edu\/hr\/?page_id=19563"},"modified":"2026-01-06T09:41:08","modified_gmt":"2026-01-06T15:41:08","slug":"fmla-process-and-forms-2","status":"publish","type":"page","link":"https:\/\/wp.stolaf.edu\/hr\/fmla-process-and-forms-2\/","title":{"rendered":"FMLA Process and Forms (2025)"},"content":{"rendered":"<div data-modular-content-collection>\n<h3 class=\"wp-block-heading\">Process for FMLA before January 1, 2026<\/h3>\n\n\n\n<p>(MN Paid Leave went into effect on January 1, 2026. Please see information on that leave <a href=\"https:\/\/wp.stolaf.edu\/hr\/benefits-2\/earned-sick-and-safe-time-2\/\">here<\/a>.)<\/p>\n\n\n\n<p><strong>Step 1<\/strong>: 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.<\/p>\n\n\n\n<p><strong>Step 2<\/strong>: Human Resources will determine eligibility and send an FMLA packet containing required notices, a description of pay during leave, and any additional necessary information&nbsp;to the employee&#8217;s home address on file.<\/p>\n\n\n\n<p><strong>Step 3<\/strong>: Prior to returning to work, the employee must have a physician complete the&nbsp;Fitness for Duty form and&nbsp;return it to&nbsp;Human Resources <strong>prior<\/strong> to returning to work. <em><strong>Note: The employee may not return to work until this form is received by Human Resources<\/strong>.<\/em><\/p>\n\n\n\t\t\t<div\n\t\t\tclass=\"site-section site-panel__wysiwyg panel panel-wysiwyg site-section__bg--normal\"\n\t\t\tdata-depth=\"\"\n\t\t\tdata-js-panel=\"wysiwyg\"\n\t\t>\n\t\n\t\t\t<div class=\"site-section__inner l-wrapper \">\n\t\n\t\n\t\t\t\t\t<header class=\"site-section__header\">\n\n\t\t\t\t<h2 class=\"site-section__title site-section__title--center h3\" id=\"who-to-notify\" data-name=\"title\" data-livetext data-depth=\"0\" data-index=\"0\">Who to Notify<\/h2>\n\n\t\t\t<\/header>\n\t\t\n\t\n\t\n\t<div class=\"site-section__content \">\n\t\t<div class=\"site-grid site-grid__wrapper \"\n\t\t\t data-depth=\"0\"\n\t\t\t data-name=\"columns\"\n\t\t\t data-livetext>\n\n\t\t\t\t\t\t\t<div class=\"site-grid__col\">\n\t\t\t\t\t<div class=\"site-panel__wysiwyg-content\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"t-content c-tile\"\n\t\t\t\t\t\t\t\t data-depth=\"0\"\n\t\t\t\t\t\t\t\t data-index=\"0\"\n\t\t\t\t\t\t\t\t data-autop=\"true\"\n\t\t\t\t\t\t\t\t data-name=\"column_content\"\n\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\t\t<h4 style=\"text-align: center;\">Human Resources<\/h4>\n<p style=\"text-align: center;\"><a href=\"https:\/\/stolafcarleton.teamdynamix.com\/TDClient\/1893\/StOlaf\/Home\/\" target=\"_blank\" rel=\"noopener\">Submit an HR Ticket<\/a> | 507-786-3068<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\t\t<\/div> <!-- .site-grid__col -->\n\t\t\t\t\t\t\t<div class=\"site-grid__col\">\n\t\t\t\t\t<div class=\"site-panel__wysiwyg-content\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"t-content c-tile\"\n\t\t\t\t\t\t\t\t data-depth=\"0\"\n\t\t\t\t\t\t\t\t data-index=\"1\"\n\t\t\t\t\t\t\t\t data-autop=\"true\"\n\t\t\t\t\t\t\t\t data-name=\"column_content\"\n\t\t\t\t\t\t\t>\n\t\t\t\t\t\t\t\t<h4 style=\"text-align: center;\">Provost Office<\/h4>\n<p style=\"text-align: center;\"><a href=\"mailto:doc@stolaf.edu\">doc@stolaf.edu<\/a> | 507-786-3004<\/p>\n\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\t\t<\/div> <!-- .site-grid__col -->\n\t\t\t\n\t\t<\/div> <!-- .site-grid, .site-grid__wrapper -->\n\t<\/div> <!-- site-section__content -->\n\n\n\t\t\t\t\n\t\t\t<\/div>\n\t\n\t\t\t<\/div>\n\t\n\n\n\t\t\t<div\n\t\t\tclass=\"site-section site-panel__micronavbutton panel panel-micronavbutton site-section__bg--normal\"\n\t\t\tdata-depth=\"\"\n\t\t\tdata-js-panel=\"micronavbutton\"\n\t\t>\n\t\n\t    <div class=\"site-section__inner site-section__inner--top-padding-none site-section__inner--bottom-padding-none micronavbutton\">\n\n\t\t\n\t\n\t<div class=\"site-grid site-grid__no-gutters\"\n\t     data-depth=\"0\"\n\t     data-name=\"buttons\"\n\t     data-livetext\n\t>\n\n\t\t\t\t\t<div class=\"site-grid__col\">\n\t\t\t\t<a class=\"site-panel__micronavbtn-btn u-bc-cranberry\"\n\t\t\t\t   \thref=\"https:\/\/wp.stolaf.edu\/hr\/employeeforms\/\"\n\t\t\t\t   \ttarget=\"_blank\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"site-panel__micronavbtn-btn-label\">Staff Handbook<\/span>\n\n\t\t\t\t\t<span class=\"site-panel__micronavbtn-btn-desc\">\n\t\t\t\t\t\t\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t<\/div> <!-- .site-grid__col -->\n\t\t\t\t\t<div class=\"site-grid__col\">\n\t\t\t\t<a class=\"site-panel__micronavbtn-btn u-bc-teal\"\n\t\t\t\t   \thref=\"https:\/\/wp.stolaf.edu\/facultyhandbook\/faculty-leaves-of-absence\/\"\n\t\t\t\t   \ttarget=\"_blank\"\n\t\t\t\t>\n\t\t\t\t\t<span class=\"site-panel__micronavbtn-btn-label\">Faculty Handbook<\/span>\n\n\t\t\t\t\t<span class=\"site-panel__micronavbtn-btn-desc\">\n\t\t\t\t\t\t\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t<\/div> <!-- .site-grid__col -->\n\t\t\n\t<\/div> <!-- .site-grid -->\n\n\n\t\t\t\t\n\t\t<\/div>\n\n\t\t\t<\/div>\n\t\n\n\n\t\t\t<div\n\t\t\tclass=\"site-section site-panel__explore panel panel-explore site-section__bg--normal\"\n\t\t\tdata-depth=\"\"\n\t\t\tdata-js-panel=\"explore\"\n\t\t>\n\t\n\t\t\t<div class=\"site-section__inner l-wrapper  explore\">\n\t\n\t\n\t\n    <div class=\"site-panel__explore-chevron site-panel-shape-bbc--gold-navy\"><\/div>\n\n    <div class=\"site-grid site-grid__wrapper site-section__content site-panel__explore-content\">\n\n        <div class=\"t-content site-panel__explore-desc site-grid__col site-grid__col--flex-2\">\n            <h2 class=\"site-section__title h3\" id=\"forms\" data-name=\"title\" data-livetext data-depth=\"0\" data-index=\"0\">Forms<\/h2>\n\n            <p><sup>1\u00a0<\/sup>To allow the physician to better assess your condition, we advise you to provide them with a copy of your job description. Please <a href=\"https:\/\/stolafcarleton.teamdynamix.com\/TDClient\/1893\/StOlaf\/Home\/\">submit a ticket to HR<\/a> to obtain a copy.<\/p>\n<p><sup>2\u00a0<\/sup>If your leave is related to maternity, you may provide a doctor\u2019s note confirming the pregnancy and expected due date, in place of the Physician\u2019s Certification form.<\/p>\n\n        <\/div>\n\n                    <div class=\"site-grid__col t-content\">\n                <h3 class=\"h5\"><\/h3>\n\n                <ul class=\"list-icon \">\n                                            <li class=\"chevron-right\">\n                            <a href=\"https:\/\/www.dol.gov\/sites\/dolgov\/files\/WHD\/legacy\/files\/WH-380-E.pdf\" target=\"_blank\">\n                                Physician\u2019s Certification \u2013 Employee\u2019s Serious Health Condition1,2\n                            <\/a>\n                        <\/li>\n                                            <li class=\"chevron-right\">\n                            <a href=\"https:\/\/www.dol.gov\/sites\/dolgov\/files\/WHD\/legacy\/files\/WH-380-F.pdf\" target=\"_blank\">\n                                Physician\u2019s Certification \u2013 Family Member\u2019s Serious Health Condition\n                            <\/a>\n                        <\/li>\n                                            <li class=\"chevron-right\">\n                            <a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Fitness-For-Duty-Cert-Form-Faculty.pdf\" target=\"_blank\">\n                                Fitness for Duty \u2013 Faculty\n                            <\/a>\n                        <\/li>\n                                            <li class=\"chevron-right\">\n                            <a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Fitness-For-Duty-Cert-Form-Staff.pdf\" target=\"_blank\">\n                                Fitness for Duty \u2013 Staff\n                            <\/a>\n                        <\/li>\n                                            <li class=\"chevron-right\">\n                            <a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Fitness-For-Duty-Cert-Form-Not-FMLA.pdf\" target=\"_blank\">\n                                Fitness for Duty \u2013 Non FMLA\n                            <\/a>\n                        <\/li>\n                                    <\/ul>\n\n                            <\/div>\n        \n            <\/div>\n\n\n\t\t\t\t\n\t\t\t<\/div>\n\t\n\t\t\t<\/div>\n\t\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Process for FMLA before January 1, 2026 (MN Paid Leave went into effect on January 1, 2026. Please see information on that leave here.) Step 1: If you expect to [&hellip;]<\/p>\n","protected":false},"author":7458,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-19563","page","type-page","status-publish","hentry"],"acf":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/pages\/19563","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/users\/7458"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/comments?post=19563"}],"version-history":[{"count":26,"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/pages\/19563\/revisions"}],"predecessor-version":[{"id":21915,"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/pages\/19563\/revisions\/21915"}],"wp:attachment":[{"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/media?parent=19563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}