Family Medical Leave
The Family and Medical Leave Act (FMLA) provides:
- Up to 12 weeks of unpaid leave (up to 26 weeks for military caregiver leave)
- Job protection and insurance premium sharing (if eligible) for medical conditions affecting you or a family member
Eligibility
You must be employed by the State of Texas a minimum of 12 months within the past 7 years and have worked at least 1,250 hours in the 12 months preceding the start of leave.
Allowed Use of the FMLA
- For the birth or adoption/foster placement of my child
- For my own serious health condition
- For a family member's serious health condition
- To cover a military qualified exigency
- To care for a family service member/veteran
FMLA Forms
- Family and Medical Leave Act Request Form
- Medical Certification of Health Care Provider for Employee's Own Serious Health Condition
- Medical Certification of Health Care Provider for Family Member's Serious Health Condition
- Intermittent Family and Medical Leave Time Tracking Report
- Military Request form
- Certification of Qualifying Exigency for Military Family Leave
Timing
Determined on a case-by-case basis, FMLA can be taken as:
- A continuous block of time
- A reduced schedule
- Intermittent leave
You must give at least 30 days advance notice to UT Southwestern of the need to take leave. If unforeseeable, the notice should be given as soon as possible.
Related Links
- Employee Rights under FMLA
- Qualifying Reasons for Leave under the Family and Medical Leave Act (U.S. Department of Labor)
- Supervisor's Guide to Managing FMLA (on-campus network or VPN connection required to access)
Questions about leave?
Leave Administration
214-648-9840