Leave of Absence Information
Employees must submit leave of absence requests for leaves which will exceed twenty
consecutive days. Leave forms should be submitted thirty days in advance of the beginning date
of the leave (whenever possible), and must include a beginning and ending date. Please contact
Tamica Harrison, Benefits Accountant at the Robertson County Finance Office/615-384-0202,
with questions about insurance premiums during leaves. Types of long term leave available
include:
- Family and Medical Leave: Available to employees who have been employed by the
district for twelve months and have worked a minimum of 1,250 hours during the
preceding year. According to federal law, this leave allows up to twelve weeks of job
protected leave during which the district will continue to pay 90% of the employee’s
insurance premium, even if the employee has used all accrued paid sick leave and
personal leave. After twelve weeks and when all paid leave is exhausted, the employee
will be responsible for the entire cost of their medical insurance premium. All available
paid leave must be used concurrently with FMLA.
Forms required for FMLA Leave include:
- FMLA Leave of Absence Request Form (submitted prior to leave)
- WH-380-E Certification by Health Care Provider for Employee’s Serious Health
Condition (submitted prior to leave); OR WH-380-F Certification by Health Care Provider for Family Member’s Serious Health Condition (submitted prior to leave) - Fitness for Duty Certification Form (must be submitted before return to work)
- Long Term Leave of Absence: Requests may be submitted by employees who have not
worked for the district for twelve months and/or have not worked a minimum of 1,250
hours during the preceding year. All available paid leave must be used concurrently
with a Long Term Leave. When all paid leave is exhausted, the employee will be
responsible for their entire insurance premium. Required Long Term Leave forms
include:
- FMLA Leave of Absence Request Form (submitted prior to leave)
- WH-380-E Certification by Health Care Provider for Employee’s Serious Health
Condition (submitted prior to leave); OR WH-380-F Certification by Health Care Provider for Family Member’s Serious Health Condition (submitted prior to leave) - Fitness for Duty Certification Form (must be submitted before return to work)