§ 82-608. Family and medical leave forms

Under the Family and Medical Leave Act, the county is required to provide several different types of notice to employees. These notices include general notice and postings, eligibility notice, notice of rights and responsibilities, and FMLA designation notice. The number of medical certification forms increased to address the extension of FMLA entitlement for military family leave. The following forms shall be used in the administration of family and medical leave:

(1) Request for Family and Medical Leave (HR/CS #13);

(2) Notice of Eligibility and Rights & Responsibilities (HR/CS #14);

(3) Designation Notice (HR/CS #15);

(4) Certification of Health Care Provider for Employee (HR/CS #16);

(5) Certification of Health Care Provider for Family Member (HR/CS #17);

(6) Certification of Serious Injury or Illness of Covered Service Member for Military Family Leave (HR/CS #18); and

(7) Certification of Qualifying Exigency for Military Family Leave (HR/CS #19).

(Ord. No. 2009-0883, 5-12-2009)