Leave Benefit Options

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Family Medical Leave

The Office of Labor Relations advises departments, classified staff, officers and professional exempts, and 9 and 12 month faculty on the administration of Family Medical Leave. The office of the Vice Chancellor for Research and Dean of the Graduate School advises research faculty on the administration of FML.

FML is a form of job protection that runs concurrently with all applicable forms of paid and unpaid leave. FML may be takenby eligible employees for the following medical reasons:

1. the birth and care of your newborn child;
2. the placement and care of a child from adoption or foster care;
3. care for a spouse, child, or parent with a serious health condition; and
4. your own serious health condition.

Family Medical Leave for Classified Staff

A classified staff employee is eligible to take up to 13 weeks (520 hours) of FML leave in a fiscal year, so long as that employee has one year of total state service as of the date leave will begin. This amount is prorated for part-time employees. Specific forms must be completed by both the employee and the department for FML leave to be granted. You may contact the Office of Labor Relations at 303-492-0956 for a FML packet or download the required forms here: Classified Staff Family Medical Leave Forms

If you are going to be on FML leave without pay for more than 30 days, please also complete the following PERA required form: Certification of Leave of Absence

Supervisors and department liasons responsible for the tracking of Family Medical Leave may find the following spreadsheet useful for tracking leave taken related to an FMLA qualifying condition and monitoring an employee's remaining entitilement. This version is specific to Family Medical Leave for Classified Employees: Classified FMLA Tracking Form

Family Medical Leave for Officers, Professional Exempts, 9 and 12 month Faculty and Research Faculty

Officers and professional exempts, 9 and 12 month faculty and research faculty may take up to 12 weeks (generally 480 hours) of FML during a 12 month period, so long as they have been employed by the University for at least 12 months and have worked at least 1,250 hours during the most recent 12 month period. Specific forms must be completed by both the employee and the department for FML to be granted. You may contact the Office of Labor Relations at 303-492-0956 for a FML packet or download the required forms by clicking the links below.

• UCB Guidelines - FML for Officers and Professional Exempts, 9 and 12 Month Faculty and Research Faculty  (updated 2/09)
• Notice of Eligibility and Rights and Responsibilities
• Designation Notice
• Medical Certification for Employee's Serious Health Condition
• Medical Certification for Family Member's Serious Health Condition
• Certification for Qualifying Exigency
• Certification for Injured Service Member
• Fitness to Return Certification   (updated 2/09)

If you are going to be on leave without pay for more than 30 days and are a member of PERA, please complete the following PERA required form: Certification of Leave of Absence

Supervisors and department liasons responsible for the tracking of Family Medical Leave may find the following spreadsheet useful for tracking leave taken related to an FMLA qualifying condition and monitoring an employee's remaining entitilement. This version is specific to Family Medical Leave for Officers, Professional Exempts, 9 and 12 month Faculty and Research Faculty: Non-Classified FMLA Tracking Form