Skip to main content

Massachusetts Society of Professors

The Union of Faculty and Librarians at UMass Amherst

Family Medical Leave Act

Guarantees 12 weeks leave for illness, or for illness of spouse, child, or parent.  FMLA guarantees unpaid leave but MSP has won the right to paid leave through the sick leave bank.

The Family and Medical Leave Act of 1993 provides up to 12 weeks of job-protected, unpaid leave during any 12-month period. To be eligible, employees must have been employed by the University for at least 12 months and must have worked at least 1250 hours during the 12 month period immediately preceding the leave.

An employee must provide certification from a health care provider for a serious health condition of the employee or the employee’s immediate family member, using the FMLA Medical Certification Form.  When the leave is foreseeable and the employee has provided at least 30 days notice, the employee should provide the medical certification before the leave begins.  When this is not possible, the University allows fifteen calendar days following the request for leave for the employee to obtain the medical certification.

To Apply for FMLA leave:

  1. Notify your chair or dean in writing of your need to take leave and the dates your are requesting. Sending an email is fine and should include the information in the HR Medical Leave Request Checklist. (*see #3 for modification to checklist process)
  2. Have your health care provider or the health care provider treating you or the individual you are caring for fill out a  Certification of Health Care Provider for Employee or a Certification of Health Care Provider for Family Member form.
  3. Submit the completed Certification of Health Care Provider form to your Human Resources representative in the Dean's office in person or via secure OneDrive link. Please do not send medical information via email. *Department chairs or deans do not have access to confidential medical information and you do not need to include the Certification of Health Care Provider form or disclose medical information in your request to your Chair or Dean.
  4. If you do not have enough accrued sick time to cover your leave (your paycheck will show your hours of sick leave), include with your request for leave a statement that you wish to apply for time from the MSP Sick Leave Bank.

See also:

See the US Department of Labor site for a complete description of the Family and Medical Leave Act

Image 1

Image 2

Image 3

Image 4

Image 5

Image 6

Image 7

Image 8

Image 9

Image 10

Image 11

Image 12

Image 13

Image 14

Image 15

Image 16

Image 17

Image 18

Image 19

Image 20

Image 21

Image 22

Image 23

Image 24

Image 25

Image 26

Image 27

Image 28

Image 29

Image 30

Image 31

Image 32

Image 33

Image 34

Image 35

Image 36

Image 37

Image 38

Image 39

Image 40

Image 41

Image 42

Image 43

Image 44

Image 45

Image 46

Image 47

Image 48

Image 49

Image 50

Image 51

Image 52

Image 53

Image 54

Image 55

Image 56

Image 57

Image 58

Image 59

Image 60

Image 61

Image 62

Image 63

Image 64

Image 65

Image 66

Image 67

Image 68

Image 69

Image 70

Image 71

Image 72

Image 73

Image 74

Image 75

Image 76

Image 77

Image 78

Image 79

Image 80

Image 81

Image 82

Image 83

Image 84

Image 85

Image 86

Image 87

Image 88

Image 89

Image 90

Image 91

Image 92

Image 93

Image 94

Image 95

Image 96

Image 97

Image 98

Image 99

Image 100

Image 101

Image 102

Image 103

Image 104

Image 105

Image 106

Image 107

Image 108

Image 109

Image 110

Image 111

Image 112

Image 113

Image 114

Image 115

Image 116

Image 117

Image 118

Image 119

Image 120

Image 121

Image 122

Image 123

Image 124

Image 125

Image 126

Image 127

Image 128

Image 129

Image 130

Image 131

Image 132

Image 133

Image 134

Image 135

Image 136

Image 137

Image 138

Image 139

Image 140

Image 141

Image 142

Image 143

Image 144

Image 145

Image 146

Image 147

Image 148

Image 149

Image 150

Image 151

Image 152

Image 153

Image 154

Image 155

Image 156

Image 157

Image 158

Image 159

Image 160

Image 161

Image 162

Image 163

Image 164

Image 165

Image 166

Image 167

Image 168

Image 169

Image 170

Image 171

Image 172

Image 173

Image 174

Image 175

Image 176

Image 177

Image 178

Image 179

Image 180

Image 181

Image 182

Image 183

Image 184

Image 185

Image 186

Image 187

Image 188

Image 189

Image 190

Image 191

Image 192

Image 193

Image 194

Image 195