{"id":5046,"date":"2015-11-12T09:23:45","date_gmt":"2015-11-12T15:23:45","guid":{"rendered":"https:\/\/wp.stolaf.edu\/hr\/?page_id=5046"},"modified":"2023-06-07T09:01:44","modified_gmt":"2023-06-07T14:01:44","slug":"fmla-process-and-forms","status":"publish","type":"page","link":"https:\/\/wp.stolaf.edu\/hr\/fmla-process-and-forms\/","title":{"rendered":"FMLA Process and Forms"},"content":{"rendered":"<div data-modular-content-collection><h3>Policy<\/h3>\n<ul>\n<li><a href=\"https:\/\/wp.stolaf.edu\/hr?gfid=846\">Staff Handbook<\/a> (see Time Away From Work section)<\/li>\n<li><a href=\"https:\/\/wp.stolaf.edu\/facultyhandbook\/faculty-leaves-of-absence\/\">Faculty Handbook<\/a><\/li>\n<\/ul>\n<h3>Process<\/h3>\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<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\u00a0to the employee&#8217;s home address on file.<\/p>\n<p><strong>Step 3<\/strong>: Prior to returning to work, the employee must have a physician complete the\u00a0Fitness for Duty form and\u00a0return it to\u00a0Human 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<h3>Who to Notify<\/h3>\n<ul>\n<li>Supervisor<\/li>\n<li>Human Resources at\u00a0<a href=\"mailto:hrstaff@stolaf.edu\">hrstaff@stolaf.edu<\/a> or 507-786-3068<\/li>\n<li>Provost Office (applies to faculty only) at\u00a0<a href=\"mailto:doc@stolaf.edu\">doc@stolaf.edu<\/a> or 507-786-3004<\/li>\n<\/ul>\n<h3>Forms<\/h3>\n<ul>\n<li><a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Certification-of-Health-Care-Provider-Employee.pdf\">Physician&#8217;s Certification &#8211; Employee&#8217;s Serious Health Condition<\/a><sup>1,2<\/sup><\/li>\n<li><a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Certification.of_.Health.Care_.Provider_for-Family_serious_expires5.31.2018.pdf\">Physician&#8217;s Certification &#8211; Family Member&#8217;s Serious Health Condition<\/a><\/li>\n<li><a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Fitness-For-Duty-Cert-Form-Faculty.pdf\">Fitness for Duty &#8211; Faculty<\/a><\/li>\n<li><a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Fitness-For-Duty-Cert-Form-Staff.pdf\">Fitness for Duty &#8211; Staff<\/a><\/li>\n<li><a href=\"https:\/\/wp.stolaf.edu\/hr\/files\/2015\/11\/Fitness-For-Duty-Cert-Form-Not-FMLA.pdf\">Fitness for Duty &#8211; Non-FMLA <\/a>(applies to employees who do not meet the FMLA eligibility requirements)<\/li>\n<\/ul>\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 email <a href=\"mailto:hrstaff@stolaf.edu\">hrstaff@stolaf.edu<\/a> to obtain a copy.<\/p>\n<p><sup>2\u00a0<\/sup>If your leave is related to maternity, you may provide a doctor&#8217;s note confirming the pregnancy and expected due date, in place of the Physician&#8217;s Certification form.<\/p>\n<p><!-- begin-migrated-from-panel-builder --><!-- end-migrated-from-panel-builder --><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/p>\n","protected":false},"author":110,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5046","page","type-page","status-publish","hentry"],"acf":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/pages\/5046","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\/110"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/comments?post=5046"}],"version-history":[{"count":12,"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/pages\/5046\/revisions"}],"predecessor-version":[{"id":14607,"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/pages\/5046\/revisions\/14607"}],"wp:attachment":[{"href":"https:\/\/wp.stolaf.edu\/hr\/wp-json\/wp\/v2\/media?parent=5046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}