Medical Leave

To request protected leave you or a family member must have a serious health condition. Family and medical leave laws provide job protection and benefits during this time. Benefits are covered during protective leave and through the end of the month, your leave ends. Employee’s cost share may be covered by paid leave or collected upon return of employment.

Qualifications

You must meet minimum qualifications to be eligible:

FMLA (Family Medical Leave Act):

• worked for that employer for at least 12 months; and
• have worked at least 1,250 hours during the 12 months prior to the start of the FMLA leave; and,

OFLA (Oregon Family Leave Act):

• have worked for that employer for at least 180 days immediately prior to the beginning of the leave; and
• have worked a minimum of 25 hours per week during the 180 days immediately prior to the beginning of the leave (exception: parental leave does not require the minimum weekly hours worked)

You must also have a reason that qualifies:

• For pregnancy disability or prenatal care (pregnancy disability leave).
• To care for a sick child who requires home care, known as sick child leave (OFLA only).
• To care for a seriously ill or injured service member or veteran (26 weeks) (FMLA only).
• Because of a “qualifying exigency” arising out of a family member being on or called to active military duty (FMLA only).
• Because of a spouse or same-gender domestic partner being called to or on leave from active military duty (OFLA only).
• Bereavement leave is two weeks of leave to make funeral arrangements, attend the funeral or alternative to a funeral, or to grieve a family member who has passed away (OFLA only).

How to Apply

There are 3 steps in taking protected leave:

1. Apply Online. submit the Protected Leaves Notification form at least 30 days before your leave begins unless it is an emergency situation.
2. Submit a Medical Certification after you apply.
   1. WH-380E FMLA/OFLA Certification of Health Care Provider for Employee's Serious Health Condition
   2. WH-380F FMLA/OFLA Certification of Health Care Provider for Family Member's Serious Health Condition
   3. WH-384 FMLA Certification of Qualifying Exigency For Military Family Leave
   4. WH-385 FMLA Certification for Serious Injury or Illness of Covered Service Member

• Must be provided in 15 calendar days from the date HR notifies you of your eligibility.
• Certification is required for pregnancy disability, but is not required for the birth or to care for a newborn.
• To qualify for FMLA,OFLA, or PFML your doctor must certify that you have a serious health condition and must also state that you are unable to work because of it.

3. Complete the Leave Tracking Form for each month  you take leave.

• The FMLA/OFLA/PFML leave tracking form needs to be submitted by the 10th of the following month in which you have taken the leave (in addition to regular monthly reporting).
• EXAMPLE: If you took leave in June, that leave must be reported by July 10th.