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Family Medical Leave Act

Family Medical Leave Act (FMLA)



To entitle employees to take reasonable leave for medical reasons, for the birth or adoption of a child, and for the care of a child, spouse or parent who has a serious health condition.



Anyone who has been employed for at least twelve (12) months by the school system and anyone who has at least 1,250 hours of service (hours used for leave, even FMLA leave, shall not be credited for service for purposes of FMLA eligibility1) during the previous twelve month period.


General Principals


1.   Any employee shall be granted, upon request, up to twelve (12) weeks unpaid leave for the birth or adoption of a child, the care of a child, spouse, or parent who has a serious health condition or for qualifying exigencies arising out of the fact that the employee’s spouse, child, or parent is on active duty, or has been notified of an impending call or order to active duty, in support of a contingency operation. (Any employee requesting leave due to pregnancy, childbirth, or adoption shall be granted up to four (4) months leave.)

2.   Any employee on maternity leave shall be permitted to use accumulated sick leave during the period of actual physical disability only. Otherwise, the maternity leave shall be unpaid leave. A teacher may use up to thirty (30) days of accumulated sick leave for the adoption of a child. If both adoptive parents are teachers, only one parent may request leave. Written verification from the adoption agency or other entity handling the adoption shall be required before the leave is granted.

3.   A physician's statement may be required by the director of schools when determining the period of actual physical disability.


4.   Request for leaves and extension of leaves shall conform to state law governing all leaves of absence.


Click here for School Board policy 5.305 FMLA. 



FMLA – Frequently Asked Questions


How do I know if my leave qualifies as FMLA?

All employees who are on a leave of absence of five consecutive days or more must complete a Leave of Absence Request Form for Certified Employees or Leave of Absence Request Form for Non-Certified Employees which should be submitted to your supervisor, and the completed form should then be sent to the attention of Carol Baker, HR Manager, at the Central Office for the approval of the Director of Schools.   The Human Resources Manager will send the employee paper work to determine if the leave of absence qualifies as FMLA and if the leave will be designated as FMLA.


How do non-paid days affect my insurance?

If you have a month in which you do not work full-time or have paid leave, and you are not covered by FMLA, you will be responsible for your portion and the school system’s portion of your insurance premium. If you are covered by FMLA, you are responsible for only your portion while on sick leave.


Do I need a doctor’s note for my FMLA and for my leave?

Yes. The FMLA doctor’s statement is part of the FMLA paperwork. Click on the links below to access appropriate documents:


Certification of Health Care Provider for Employee’s Serious Health Condition  

Certification of Health Care Provider for Family Member’s Serious Health Condition 


What type of documentation do I need to return to work?

Click on the link below to access a fitness for duty form:


Certification of Fitness for Duty  

1030 TN HWY. 92 | DANDRIDGE, TN 37725 | PH: (865) 397-3194 | FX: (865) 397-3301

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