An eligible, full-time employee may be granted up to a maximum of 12 weeks of unpaid FMLA leave in a 12-month period of time for any one of the following reasons:

• To care for the employee’s spouse, children or parent with a serious health condition
• Because of a serious health condition that makes the employee unable to perform the functions of his/her job
• For the birth of the employee's child, and to care for the newborn child 
• For the placement with the employee of a child for adoption or foster care

An employee will not accrue PTO during this leave of absence.

A full-time employee is eligible for FMLA after one year of employment.

Please complete this form to request a Leave of Absence. Please fill out completely in advance of the leave, where possible. Check the Employee Handbook for any applicable deadlines and more details on the process.