Policies and Procedures Handbook

Last Updated: 5/19/2005
Garrett County Public Schools
40 South Second Street
Oakland, MD 21550

Family Medical Leave Act

Administrative Procedure

Qualified Employees
Individuals who have been employed by the Garrett County Public Schools for at least one year and for at least 1250 hours.

Qualifying Leave
Serious personal illness certified by the employee's doctor

Serious illness of a member of the employee's immediate family certified by the family member's doctor

Birth, adoption or foster care placement.

Within One Year
Work year July 1 through June 30

Twelve Work Weeks
Twelve weeks during which at least three of the five days would have been scheduled work days

If intermittent leave is requested these weeks would translate to sixty days to be scheduled on a regular basis

Benefits Paid By The Board
Insurance coverage would continue twelve weeks in the same manner a before the start of the leave
  1. Request is to be made in writing to the Personnel Office at least thirty (30) days prior to the start of the leave except in case of an emergency or unforseeable qualifying event. Forms FMLA1 and FMLA2 are to be used for this purpose.
  2. All qualifying leaves will be considered Family Medical Leave for the purpose of providing benefits. The Personnel Office will notify the employee of the designation of such leave (Form FMLA3).
  3. Each principal or the person responsible for payroll will notify the Personnel Office when an employee is absent for more than three consecutive days due to one of the qualifying reasons cited in the Family Medical Leave Act to ensure that proper notification is given to the employee of the designation as qualifying leave.
  4. The Personnel Office will be responsible for maintaining records related to use of Family Medical Leave. Copies of leave requests and approvals will be kept in the employee's personnel file.
  5. The employee will present a statement from the certifying physician prior to returning from leave. Form FMLA4 may be used.
  6. Insurance premiums will continue to be paid by the Board in the same amount as prior to the start of the leave for up to twelve weeks; however, due to the Board's billing arrangement with Blue Cross/Blue Shield of Maryland these are paid on a monthly basis. When the twelve (12) week period ends prior to the end of a calendar month the employee will be charged a pro-rated amount for insurance premiums if the employee does not return to work at that point in time or does not work at least eleven (11) days within that month.
  7. An employee who does not return from leave may be required to reimburse the Board for benefits paid during the unpaid portion of the Family Medical Leave.
Notification of Rights
  1. Family Medical Leave Act posters are posted at each work site.
  2. Each current employee will receive written notification of FMLA rights. New employees will receive notification at the time of employment by the use of Form FMLA5.

Application For Family or Medical Leave

Medical Certification Statement (Employee's Own Serious Illness)

Medical Certification Statement (Illness of Employee's Family Member)

Request For Family Or Medical Leave (Employer Response To Employee)

Notice Of Intention To Return From Leave

Your Rights Under The Family And Medical Leave Act Of 1993

Adobe Acrobat is required to view this chart.  Download free at http://www.adobe.com/products/acrobat/readstep2.html )


Back Button [
Previous | Next
Section 500
Table of Contents 
Certificated & Other Professional Personnel 563.101 HML
Supporting Services Personnel 645.1 HML

Adopted 9/12/95