FMLA - Medical

  • Eligible employees can take up to 12 weeks of Family and Medical Leave due to a serious health condition for themselves, spouse, child or parent during a school year.  
    Eligibility Requirements 
    Employees are eligible if they have worked for a covered employer for at least one year, for 1,250 hours over the previous 12 months, and if at least 50 employees are employed by the employer within 75 miles.

    • While on Family and Medical Leave, employees will use accrued sick leave and vacation or personal leave. 

    • Any time beyond accrued leave will be leave without pay.   

    • While employees are under the FMLA leave, the District does continue to pay the insurance premiums (if the employee is using unpaid leave, they must continue to pay their portion of the insurance coverage.)

    • Once the FMLA leave is exhausted, employees will be responsible to pay the full insurance premiums.  

FMLA - Medical Leave Request to Human Resources

  • Employees who will be absent 4 or more days, due to a medical condition for themselves, spouse, child or parent, are required to complete the request for Family and Medical Leave in Talent Ed Records and provide a doctor’s note (see specifics below).

    Instructions to request FMLA Leave for Medical in Unified Talent Records are below along with the doctor note requirements:

    • Login Unified Talent Records (Login is the same as your email and iVisions accounts.)
    • Click on “Available Forms” (left toolbar). 
    • FMLA Medical HR Request is the name of the document.
    • A box may pop up to either upload or add as an e-form; if so, choose the button that says “add as an e-form”.
    • Complete the form - sign electronically.
    • Once the form is completed, hit “Save Final” at the bottom of the page.

    HIPAA Authorization for Release of Information

    Employee Serious Health Condition Form (Doctor)

    • Please complete  the Employee Serious Medical Condition form if absence will be more than 1 week; a general doctor note will be sufficient if less.
    • Please fax to HR at (701) 323-4115.

    Family Member Serious Health Condition Form (Doctor) 

    • Please complete the Family Member Serious Health Condition form if absence will be more than 1 week; a general doctor note will be sufficient if less.
    • Please fax to HR at (701) 323-4115.

     For questions or needing any assistance, please contact Paulette Kerzmann or 323-4072.