Leave of Absence Information

Available to employees who have been employed by the district for twelve (12) 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:

1. FMLA Leave of Absence Request Form (submitted prior to leave)

2. Certification by Health Care Provider for Employee’s Serious Health Condition | WH-380-E  (submitted prior to leave)
             or;
   Certification by Health Care Provider for Family Member’s Serious Health Condition | WH-380-F (submitted prior to leave)

3. Fitness for Duty Certification Form (must be submitted before return to work)

Requests may be submitted by employees who have not worked for the district for twelve (12) 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:

1. FMLA Leave of Absence Request Form (submitted prior to leave)

2. Certification by Health Care Provider for Employee’s Serious Health Condition | WH-380-E  (submitted prior to leave)
             or;
   Certification by Health Care Provider for Family Member’s Serious Health Condition | WH-380-F (submitted prior to leave)

3. Fitness for Duty Certification Form (must be submitted before return to work)

At the beginning of every school year, personal/professional leave shall be credited as follows:

• teachers with 15 or more years Robertson County experience - 4 days
• teachers with 10, but fewer than 15 years Robertson County experience - 3 days
• teachers with less than 10 years Robertson County experience - 2 days

Leave may be taken at the discretion of the teacher, who shall notify the administrator at least three (3) days in advance, except in case of emergency.Leave shall not be taken:

• when as much as 10% of the teachers of the school are absent;
• during examination or grading periods;
• for less than a full day;
• immediately before or after a school holiday/vacation;
• for a scheduled professional development/in-service training day;
• for a scheduled parent-teacher conference day.

At the end of each school year, all unused personal days will be credited to sick leave.

Please contact the Benefits Officer at the Robertson County Finance Office, with questions about insurance premiums during leaves.

Website: Robertson County Finance Department - Payroll and Benefits