Federal Family Medical Leave Act and Wisconsin Family Medical Leave Act


It is critically important that any employee considering an extended leave communicate that possibility with his/her immediate supervisor and the District’s Human Resources Department as far in advance as possible.  There are state and federal versions of the Family Medical Leave Act (FMLA) that must be considered for eligible employees.  Employees must have worked in the District for at least 12 months and have worked at least 1,000 hours to qualify for WFMLA and 1,250 hours for FMLA during the year immediately preceding the effective date of the leave.  Employees may apply for an extended leave even if they are not eligible for a FMLA leave.  Leave request procedures can be found in the Professional Educator Employee Handbook and the Support Staff Employee Handbook.

If you qualify for leave under the Family and Medical Leave Act (FMLA) and/or the Wisconsin Family Leave Act (WFMLA) please review the information below.  Whether you qualify under the FMLA or not, you must submit an Employee Leave Request Form to your supervisor for a signature then send the signed form to the Human Resources Department.  Once your request has been reviewed you will receive confirmation.  Details pertaining to your request will be sent to you by Payroll. 



The Family Medical Leave Act provides eligible District employees with up to 12 weeks of protected leave per FMLA year when the employee or a covered family member experiences a "serious health condition," or when an employee requests time to bond with a child after the child's birth, adoption or foster care.  For more information please use the links below and review your Employee Handbook.  Then contact the Human Resources Department if you have questions.


US Department of Labor Website


WI Department of Labor Website


US Dept of Labor - Employee Rights and Responsibilities




Employee Leave Request Form

US Department of Labor - Employee's Certification of Healthcare Provider

US Department of Labor - Family Member's Certification of Healthcare Provider

Return To Work Form (Physician's form is acceptable)

Job Description: If your physician requires a job description, please contact Human Resources to request a copy of the description for your job classification.