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Clint Independent School District

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FMLA

Your Rights Under The Family and Medical Leave Act of 1993

FMLA requires covered employers to provide up to 12 weeks of unpaid, job-protected leave to “eligible” employees for certain family and medical reasons.

Employees are eligible if they have worked for a covered employer for at least one year, and for 1,250 hours over the previous 12 months.

Eligible Reasons For Taking Leave: 

Unpaid leave must be granted for any of the following reasons:

•  to care for the employee’s child after birth, or placement for adoption or foster 
    care;
•  to care for the employee’s spouse, son or daughter, or parent, who has a serious
    health condition; or
•  for a serious health condition that makes the employee unable to perform the
    employee’s job.

Please refer to District Policy DECA (Legal) for detailed information and regulations.  To request FMLA or to discuss a leave of absence, please contact the HR/Benefits Department at 915-926-4072. 

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FMLA Request Form (to be submitted at least 30 days prior to foreseeable leave)

Medical Certification For Employee (to be completed by a Physician)

Medical Certification For Employee's Spouse, Child(ren), or Parents (to be completed by physician)