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University of Nebraska–Lincoln

Human Resources

Committed to Excellence

Family Medical Leave Guidelines
FML Home FML Procedures
FML Request Certification of Practitioner
  1. Employee requests information about family/medical leave.
    [NOTE: Employees requesting family/medical leave are entitled to the leave, provided it is for one of the purposes noted on the Request for Family/Medical Leave. For more information see Family/Medical Leave Policy in Chapter 100, Section 108, of the Business Policies and Procedures or call Human Resources, 472-3101.]
  2. Department provides Request for Family/Medical Leave to employee and gives needed assistance in completing. Issues to discuss:

    Primary issue is whether the leave is being requested for a qualifying event under the Family/Medical Leave Policy.

    Other issues: Whether leave will be paid, unpaid, or a combination of both

    UNL's continuing contribution to insurance coverage, even during unpaid leave; questions about insurance may be directed to Benefits, 472-2600

    Employee's current leave balances
    Whether medical documentation will be required and whether a medical release will be required when employee returns to work (it is usually advisable to request medical documentation; it is sometimes helpful to provide the employee's job description to the medical provider)

  3. If it is determined that the request meets qualifying event criteria for family/medical leave, supervisor signs the form and sends to the appropriate dean or director.
  4. Dean or director approves or denies, sends original to Human Resources and copy to department.
  5. Department notifies employee.
  6. Department is responsible for documenting non pay status with a Personnel Action Form. This should be done for an office/service employee after two pay periods in non pay status and for a managerial/ professional employee after one pay period.
  7. Department is responsible for tracking the period of family/medical leave. In order to insure the least disruption to insurance benefits for the employee, it is important that the department notifies the Benefits Office when the employee returns to work.
June 1996