Family and Medical Leave (FMLA)

The Family Medical Leave Act (FMLA) entitles eligible employees to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.   

The Middleton-Cross Plains Area School District administers its Family and Medical Leave Law (FMLA) obligations on a calendar year basis. To the extent the reasons for leave would entitle an employee leave under the Federal and/or Wisconsin law, the leaves will run concurrently, along with any leave to which the employee is entitled under the applicable Policy of the District.

PowerPoint - The Family and Medical Leave Act

• FACT SHEET - Taking Leave from Work When You or Your Family Member Has a Serious Health Condition under the FMLA

• FACT SHEET - Taking Leave from Work for Birth, Placement, and Bonding with a Child under the FMLA

• Federal FMLA Rights

• Wisconsin FMLA Rights

• MCPASD Policy

Note:  Protected leave period may range from 2 weeks to 12 weeks depending upon eligibility

Forms

MCPASD Forms

MCPASD Leave Request Form  

MCPASD Catastrophic Sick Leave Request Form

Physician Forms

Certification of Health Care Provider for Employee

Certification of Health Care Provider for Family Member

Physician's Release to Return to Work following Medical Leave of Absence

 Forms Associated with Military-Related FMLA Requests

Certification for Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave

Certification for Military Family Leave for Qualifying Exigency