UT Health Science Center Human Resources

Family Medical Leave Act

Covered employers must grant an eligible employee up to a total of 12 workweeks of unpaid leave during any 12-month period for one or more of the following reasons:

• for the birth and care of the newborn child of the employee;
• for placement with the employee of a son or daughter for adoption or foster care;
• to care for an immediate family member (spouse, child, or parent) with a serious health condition; or
• to take medical leave when the employee is unable to work because of a serious health condition.

Major Developments in FMLA

UTHSC Family Medical Leave Policy

To be eligible for Family Medical Leave, the employee must have been employed for 12 months and have worked at least 1250 hours during the past 12 months.

UTHSC Family Medical Leave Procedure

An employee can request Family Medical Leave through the Benefits Office at UTHSC. If the employee has paid leave available, that time will be applied towards the leave. If not, the leave is taken unpaid.

Family Medical Leave Request Form

Physician Statement Form (Medical Certification)