Summary

Family Medical and Family Military Leave - FMLA (See Policy #1001)

UNMC will grant up to twelve weeks of unpaid family/medical leave for any of the following reasons:

  1. The employee's own serious health condition that make the employee unable to perform the essential functions of the job.

  2. A serious health condition of the employee's spouse, child or parent or a person bearing the same relationship to the employee's spouse.

  3. Maternal/paternal concerns related to the birth and first year care of a child or adoption of a child, or the placement of a child with the employee for foster care.

  4. A death in the immediate family.

  5. Family Leave Due to a Call to Active Duty: This benefit provides 12 weeks of FMLA leave due to a spouse, son, daughter or parent being on active duty or having been notified of an impending call or order to active duty in the Armed Forces. Leave may be used for any "qualifying exigency" arising out of the service member's current tour of active duty or because the service member is notified of an impending call to duty in support of a contingency operation.

  6. Caregiver Leave for an Injured Service member: This benefit provides 26 weeks of FMLA leave during a single 12-month period for a spouse, son, daughter, parent, or nearest blood relative caring for a recovering service member. A recovering service member is defined as a member of the Armed Forces who suffered an injury or illness while on active-duty that may render the person unable to perform the duties of the member's office, grade, rank or rating.

Certification of Health Care Provider for Employees Serious Health Condition

Certification of Health Care Provider for Family Members Serious Health Condition

Certification of Qualifying Exigency for Military Family Leave

Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave

FMLA - Request for Family Medical Leave Form

FMLA - Request for Military Qualifying Exigency Leave and Military Caregiver Leave Form

UNMC Policy Procedures