FMLA and Medical Leave
Instructions for Completing FMLA Forms
- Click on "Employee FMLA/Medical Leave Request Form"
- Complete form and fax to HR at 513-529-4223 (by faxing the form to HR this ensures you have applied for FMLA and we are pending your FMLA certification from your doctor)
- Click on FMLA Forms
- Select appropriate form; WH 380 E for FMLA due to a medical condition or pregnancy for yourself, WH 380 F for FMLA due to a family member medical condition or spouse pregnancy
- Print the appropriate form, fill in only Section II (for Employee) and take to your physician. Your physician will complete the remaining sections and may fax directly to Human Resources at 513-529-4223.
FMLA FORMS
(Click on appropriate form below):
Employee FMLA/Medical Leave Request Form
WH-380-F Employee Family Member FMLA Form
POLICIES AND GENERAL INFORMATION
Family and Medical Leave Policy
FMLA General Information on Health Conditions
Kronos Leave Code Training
Kronos Leave Reporting and Tracking (PowerPoint Presentation)
It Could Happen on Your Shift (Various scenarios and guidelines for entering pay codes in Kronos)
Please contact Patricia Irwin at 513-529-2027 with questions.
Faculty and Unclassified Staff in Academic Affairs should contact Academic Personnel (529-7268) to request a Family/Medical Leave.