• Henry County Schools  Family and Medical Leave Act (FMLA)

  • During the month of June, 2024 all FMLA information will be updated to reflect current Federal, State, and local changes. Updated information will be posted by July 1, 2024.  All requests for FMLA leave submitted for the 2024-2025 School Year will be acknowledged after July 8, 2024. 


    The Family and Medical Leave Act of 1993 is a federal law that provides covered employees with the right to an unpaid leave of absence for up to 60 days within a 12-month period, in order to address certain personal and or certain family member’s serious medical conditions (Please click here for more details)


    Employees of Henry County Schools who have been employed for at least 12 months or who have worked at least 1,250 hours during the 12-month period immediately preceding the commencement of the leave are eligible to take unpaid leave under FMLA.


    If you meet one of the qualifications and incur 3 or more days of absence, you may apply for FMLA. If you expect to be out of work in excess of 10 days, or if you incur 10 or more absences, you must apply for FMLA per the HCS Employee Guide. A 30-day notice of pending leave is required when the leave is foreseeable. In any  event, written notice in the form of this application should be submitted by you as soon as possible. Failure to submit a completed FMLA application (including supporting documentation such as medical certification) within 15 days of absence could result in automatic denial of FMLA and possible employment action. Be sure to notify your administrator/bookkeeper concerning your leave and follow the leave reporting protocol for your work location.



    • Review all FMLA informational resources located on our District’s website and in the helpful links below. It is the employee’s responsibility to ensure all FMLA general information and instructions, Frequently Asked Questions are reviewed, all FMLA application guidelines are followed, and the completed FMLA application form (via the eFMLA link) is received.

    Step 1: Determine Eligibility

    • Initiate a request for FMLA leave using the following link: Request FMLA Leave
    • Verify information and click “Submit”.







    • You will receive an email with a link to create your account and begin your FMLA Request.
      Be sure to check email from “FMLA Administrator” (also junk or spam) for the email to the second step of the request process.

    • Click on the link received to create your account and complete the form

    • Once you have sent your form, you will receive an email within 5 business days notifying you of your eligibility status.
    • Continue to Step 2

    Step 2: Submit Certification of Health Care Provider Form 

    • Along with notification of eligibility status, you will be provided the third required document, US DOL Certification of Health Care provider form WH-380-E or WH-380-F (ESHC or FMSHC in the eFMLA system).  
    • It is important that you provide this document to your medical provider as soon as possible.
    • To complete the employee’s application for leave under FMLA, this document MUST be completed, signed and submitted by the medical provider to the Human Resources Specialist or via the eFMLA portal within 15 business days. The FMLA office does not request this medical certification on the employee’s behalf.
    • Once your medical documentation is received by Human Resources, your request will be processed, and you will receive a Designation notification via email/eFMLA portal. 
    • Review the Designation Notice completely including the “Additional Notes” and follow all the instructions including return to work documentation requirements/ Intermittent reporting processes described.