IS - 2006 Family and Medical Leave Human Resources
Revision 3: 11/22/00
Revision 4: 11/4/04
Policy Procedure
CNM Board Policy

Administrative Directive

Contents

Introduction
1. Eligible Employees  
2. Events Eligible for Unpaid FMLA Leave
3. Notice to Employees  
4. Request for Unpaid FMLA Leave  
5. Amount of Unpaid FMLA Leave  
6. Worker’s Compensation  
7. Return to Work  
8. Benefits Coverage While on Unpaid FMLA Leave  
9. Record Keeping Requirements  
10. Confidentiality of Medical Records  

 

 

Contents

1. Requesting Family and Medical Leave

Forms:      Certification of Health Care Provider
Employer Response to Employee
Support Materials:      FMLA Leave Request Memo
IS-2093, Workers' Compensation
Reference Materials:      Employee Handbook 8.06, Medical Leave
Employee Handbook 8.07, Family Leave
Family and Medical Leave Act
FMLA, Law No. 10333-3 107 Statute 29