FMLA and Medical Leave
Instructions for Completing FMLA Forms
- Click on appropriate FMLA form below.
- Print all pages. Complete the "Leave Request" 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).
- Take the remaining pages to your physician. Your physician will complete the "Department of Labor" forms. Your physician may fax these forms directly to Human Resources at 513-529-4223.
- You and your supervisor will receive notification via email when your FMLA is approved or disapproved.
FMLA FORMS
(Click on appropriate form below):
FMLA Employee Medical Condition
FMLA Family Member Medical Condition
POLICIES AND GENERAL INFORMATION
Family and Medical Leave Policy
Mothers' Rooms Available for Nursing Mothers
A new requirement has been established under the Fair Labor Standards Act (FLSA) to allow reasonable break time for nursing mothers. The University is committed to providing reasonable unpaid break time and a room, other than a lavatory, where nursing mothers can express breast milk. Please click Mothers' Rooms to see locations provided for mothers on campus.
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 or email at donatupa@muohio.edu with questions.
Faculty and Unclassified Staff in Academic Affairs should contact Academic Personnel (529-7268) to request a Family/Medical Leave.