Leaves of Absence
Covered Service Member Family Medical Leave (FMLA)
Care for Injured Service Member (FMLA) is for an eligible employee who is the spouse, son, daughter, parent or next of kin of a covered service member who is
recovering from a serious illness or injury sustained in the line of active duty. This leave provides an eligible employee 26 weeks of leave in a calendar year.
To care for servicemember who is recovering from a serious illness or injury sustained in the line of duty on active duty. Includes the service-member's :
- Spouse
- Son
- Daughter
- Next of kin
- Duke registered same sex spousal equivalent
Also, "next of kin" includes, in the following order of priority: blood relatives who have been granted legal custody of the covered service-member, brothers and
sisters, grandparents, aunts and uncles, and first cousins, unless the covered service-member has specifically designated in writing another blood relative for purposes
of military caregiver leave.
| Obtain the following paperwork from the staff member and review for completeness |
Obtain the following paperwork:
Review for completeness:
- Confirm the duration of the absence.
- Confirm that a medical condition requires the attendance of a staff member as the caregiver and if the serious health condition is for a child, parent, spouse, next of kin or same sex spousal equivalent (registered through Benefits). For Military Family Leave (should this page exist anymore?) confirm serious illness or injury sustained in the line of duty on active duty.
- Allow the staff member at least 15 days from the date of application or the employee's request to submit health care certification unless it is not practicable under the particular circumstances to do so despite the employee's diligent, good faith efforts.
- Recertification may be requested every 6 months when associated with an absence (or missed scheduled work time), A recertification can also be required at any time if an extension to a leave is requested, circumstances described in the last certification have changed (such as a pattern of absences around an employee's scheduled days off), or the employer receives information casting doubt on the employee's stated reason for an absence or the continuing validity of the last certification (such as an employee observed engaging in 10 activities that are inconsistent with a need for time off due to the certified condition). Again allowing at least 15 days from the date of the request for recertification.
| Determine if absence is an FMLA qualifying event |
To be considered a qualifying event, the covered servicemember's medical condition is classified as:
- (VSI) Very Seriously Ill/Injured - Illness/Injury is of such a severity that life is imminently endangered. Family members are requested at bedside immediately. (Please note this is an internal DOD casualty assistance designation used by DOD healthcare providers.)
- (SI) Seriously Ill/Injured - Illness/injury is of such severity that there is cause for immediate concern, but there is no imminent danger to life. Family members are requested at bedside. (Please note this is an internal DOD casualty assistance designation used by DOD healthcare providers.)
- OTHER Ill/Injured - a serious injury or illness that may render the servicemember medically unfit to perform the duties of the member's office, grade, rank, or rating.
- NONE OF THE ABOVE (Note to Employee: If this box is checked, you may still be eligible to take leave to care for a covered family member with a "serious health condition" under 825.113 of the FMLA. If such leave is requested, you may be required to complete DOL FORM WH-380 or an employer-provided form seeking the same information.)
| Determine how FMLA will be taken - Consecutive or Intermittently |
The way in which FMLA is taken will depend on medical guidance provided by the staff member's health provider and, if necessary, confirmed by Employee Occupational Health and Wellness.
Consecutive Leave (26 week period for Military Family Leave):
Eligible staff members may take up to 26 weeks of unpaid FMLA if qualified for Military Family Leave.
Intermittent Leave:
Tracking FMLA
If leave is intermittent, the department must manually track the number of hours used in a 12 month rolling period. The following tools are provided to assist in doing so:
Intermittent leave is leave taken on a reduced work schedule by decreasing the number of hours in a workday or workweek. It is irregularly based on medical needs,
caregiver demands, appointments, etc. *Duke University and Health System Policy does not allow intermittent leave for adoption and paternity leave.
If Intermittent Leave is Disruptive to Operations:
- Management may temporarily transfer the staff member to an alternate position for which the staff member is qualified and receives equal pay and benefits.
- Consult Human Resources, Staff and Labor Relations prior to making such a transfer.
*NOTE: Recertification from health-care provider may be requested every 30 days when associated with an absence (or missed scheduled work time) allowing
at least 15 days from the date of the request for recertification.
| Notice of Eligibility and Rights & Responsibility |
If the employee does or does not meet the requirements for FMLA, the payroll representative/supervisor will provide the Notice of Eligibility and Rights & Responsibilities to the employee within 5 days of when the employee submitted the FMLA paperwork.
If the employee is eligible then the department manager forwards a copy of the Request Leave of Absence Form to the department payroll representative.
The department payroll representative notifies Corporate Payroll by filling out Payroll Leave of Absence Form.
How to complete the Payroll LOA form:
- Check if the employee is exempt (monthly) or non-exempt (bi-weekly) in the box at the top right hand corner.
- Complete the LOA effective date (this is the first day the employee became absent).
- Complete the First, Last Name information, as well as Duke Unique ID, Pay Point, Position Management Number information.
- Action Type - This lets payroll know whether you want this employee to continue to get paid for any vacation/sick/PTO accruals available (or if the employee will be receiving Kiel Program donations).
- If the answer is yes, mark the LOA-Nonexempt/ Exempt with Pay box.
- If the employee no longer has vacation/sick/PTO accruals available, and you no longer want this employee to generate a check, mark the LOA-Nonexempt/ Exempt without Pay box.
- Under "Reason"- please check the "FMLA" box if it is for the following reasons: maternity, paternity, adoption/placement of foster child, child/parent/spouse illness, and personal illness.
- Sign the form and have it authorized by the appropriate departmental personnel.
- Payroll Leave of Absence form needs to be submitted to Corporate Payroll. Payroll Box 90484, Durham, NC 27708.
For Personal Leaves of Absences without pay, please send an additional copy to HRIC at 705 Broad Street Box 90496, Durham, NC 27708.
Department Representative will provide the employee with Designation Notice to Employee of FMLA Leave for the following reasons:
- Employee needs to provide additional clarification to determine if the event qualifies under FMLA
- The employee has met the eligibility requirements and provide additional information to the employee regarding the time off.
- The event does not qualify for FMLA
The department keeps the Leave of Absence Request Form, Health Care Provider Certification and any other FMLA related information including attendance records in a secure and confidential location and not in the personnel file.
The following forms are maintained in a confidential file and NOT sent to Corporate Payroll:
- Personal Leave of Absence Request
- Certification of Healthcare Provider
- Eligibility and Rights Notice
- Designation Notice
| Upon Staff Member's Return from Leave |
If the staff member was out on leave for either the birth of a child (maternity) or the staff Member's own serious health condition, please ensure receipt of a "release to
work" from the staff member's health care provider. This should be obtained prior to the staff member's first day back to work.
After obtaining the doctor's release, complete the Payroll LOA form, returning the staff member from leave.
How to Complete the Payroll LOA form:
- Check if the employee is exempt (monthly) or non-exempt (bi-weekly) in the box at the top right hand corner.
- Complete the RETURN from LOA effective date (this is the first day the employee returned to work), by filling out the "LOA Effective date" box.
- Insert First, Last Name information, as well as Duke Unique ID, Pay Point, Position Number information
- Check the "Return from Leave" box
- Process the necessary Payroll LOA form to transition the staff member to a non-FMLA leave.
- If not returning to work, the staff member should be informed that they will be considered to have resigned their position voluntarily. Process a Termination Form, and send the staff member a letter notifying them of this action.
| If the Employee Does Not Return From Leave |
Sign the form and have it authorized by appropriate departmental personnel It is advisable that you contact the staff member. If they intend to return to work,
but need to be out of work for a period longer than the 12 weeks allotted to them by FMLA, the staff member should be informed that their leave will have to be
transitioned to another type of non-FMLA leave (personal or Worker's Compensation). You can consult the following Personal Leave policy to determine which leave would apply.
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