Leave of Absence

Leave of Absence

Applying for FMLA: 

An eligible employee who has completed twelve (12) months of employment and has worked at least 1250 hours in the past twelve (12) months and who works at a location that has at least 50 employees of County employer within a 75 mile radius may request an unpaid leave of absence for a period not to exceed twelve (12) weeks in any twelve (12) month period measured forward from the date the employee’s FMLA leave first begins. The request should be in writing, must give the reason for the request and must give the expected duration of the leave. The leave may be taken for the following reasons:

1. A serious health condition that makes the employee unable to perform the functions of his/her position; 

2. In order to care for the employee’s spouse, child or parent if the person being cared for has a serious health condition; 

3. Because of the birth of a child of the employee, and in order to care for the child within twelve (12) months of the child’s birth; 

4. Because of the placement of a child with the employee for adoption or foster care, and in order to care for the child within twelve (12) months of the child’s placement. 

For more details regarding FMLA, please click on the fact sheets below

FMLA Forms


FLMA Poster

FMLA Fact Sheet #28

FMLA Fact Sheet #28 D

FMLA Fact Sheet #28 M - Military

How to File A Claim

Reporting Your Claim Online

Manager Training Instructions

FMLA Training Video

Short-Term Disability 

Submitting A Short-Term Claim

UNUM Short-Term Disability Claim Form

Long-Term Disability 

Submitting A Long-Term Disability Claim

Long-Term Disability Claim Form