Overview
- Grants up to 12 weeks leave in a 12-month period
- Leave Granted for one or more of the following reasons
- Birth of a child and care after such birth for either parent
- Placement of child for adoption or foster care for either parent
- Serious health condition of spouse, child or parent of employee
- Serious health condition of employee(unable to perform job)
Policy
- UTHealth Handbook of Operating ProceduresFMLA Policy
Sick and Vacation Leave
- Employees must exhaust all sick leave and vacation leave, if applicable, when taking FMLA
- Paid leave counts against the 12-week FMLA entitlement
Medical Insurance
- UTHealth continues to contribute its share of premium sharing for insurance at the department’s expense
Notice/Certification
- 30 days or as soon as practical
- Verbal notice is sufficient
- Department may require certification from the health care provider
Commonly Asked Questions About FMLA
FMLA Forms
Request for Family Medical Leave——员工和retu完工rned to residency coordinator.
Certification of Health Care Provider – Resident/Fellow– to be completed by health care provider & resident and returned to coordinator.
Certification of Health Care Provider – Family Member– to be completed by health care provider & resident and returned to coordinator.
Certification of Health Care Provider – Family Member with Military Injury– to be completed by health care provider & resident and returned.
Certification of Qualifying Urgency for Military Family Medical Leave– to be completed by the resident and returned with the above form.
Acknowledgement & Approval Form for Family Medical Leave – Completed by Program Director within 5 days of request submission.
Certification of Fitness for Duty– to be completed by health care provider and returned
Time Log– to be maintained by residency program timekeeper.
FMLA Sample Letters
(Download Word Documents – may be edited to fit specific situations.)
FMLA Certification Request Letter– Letter from supervisor to employee requesting completion of the Certification of Health Care Provider Form.
FMLA First Letter for Illness– Letter from supervisor to employee regarding FMLA.
FMLA First Letter for childbirth– Letter from supervisor to employee regarding FMLA available for pregnancy leave.
FMLA Middle Letter-Follow-up FMLA letter from supervisor to employee.
FMLA Extension Letter-Letter from supervisor to employee regarding FLMA expiration and options available if additional time is needed.
Human Resources Advising Team
UTHealth Benefits– Insurance & Benefits Questions – 713-500-3935
April A. Bass– Leave of Absence Paperwork – 713-500-5154
Updated 12/12/2019 ascambel