Family and medical leave will be granted up to 12 weeks per year to assist employees in balancing family and work life.  For purposes of this policy, year is defined as fiscal year.  Requests for family and medical leave will be made to the superintendent. 

After all applicable leaves are exhausted, employees are allowed to apply for unpaid family and medical leave by meeting the requirements set out in the family and medical leave administrative rules.  Employees eligible for family and medical leave must comply with the family and medical leave administrative rules prior to starting family and medical leave. 

This policy is consistent with federal law regarding family and medical leave. The links below are to applicable forms on the U.S. Department of Labor’s website.  Contact the central administration office if you need assistance.

• Compliance Poster (PDF)   
  
  • https://www.dol.gov/whd/regs/compliance/posters/fmlaen.pdf
• WH-380-E Certification of Health Care Provider for Employee’s Serious Health Condition (PDF)
  
  • https://www.dol.gov/whd/forms/WH-380-E.pdf
• WH-380-F Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)
  
  • https://www.dol.gov/whd/forms/WH-380-F.pdf
• WH-381 Notice of Eligibility and Rights & Responsibilities (PDF)
  
  • https://www.dol.gov/whd/forms/WH-381.pdf
• WH-382 Designation Notice (PDF)
  
  • https://www.dol.gov/whd/forms/WH-382.pdf
• WH-384 Certification of Qualifying Exigency For Military Family Leave (PDF)
  
  • https://www.dol.gov/whd/forms/WH-384.pdf
• WH-385 Certification for Serious Injury or Illness of Covered Service member – for Military Family Leave (PDF)
  
  • https://www.dol.gov/whd/forms/WH-385.pdf

Legal Reference:  29 U.S.C. §§ 2601 et seq.
                                       29 C.F.R. § 825
                                       Iowa Code §§ 20; 85; 216; 279.40.
                                       Whitney v. Rural Ind. School. District, 232 Iowa 61, 4 N.W.2d 394 (1942).

Approved 11/1/2004                             Reviewed 12/17/2007                            Revised 09/21/2009
                                                                                       06/17/2019                                       04/16/2012
                                                                                       09/21/2020                                        07/17/2017
                                                                                       07/18/2022                                        06/17/2019
                                                                                                                                                 09/21/2020                                                                                                                                                                                   07/18/2022