Family and Medical Leave (FMLA)

As required by the Family and Medical Leave Act (FMLA), the College will provide covered employees up to 12 weeks of unpaid job-protected leave for certain family, medical and military reasons. Up to 26 weeks of leave is available for situations involving a covered family member's service in the Armed Forces.  Employees who have worked for the College for at least 12 months and for 1,250 hours over the previous 12 months of employment are eligible.

Please review the complete Family Medical Leave Policy

How to Request Leave

Requests for family care, military exigency, military caregiver, and medical leave must be approved in advance by your Supervisor and the Human Resources Department. Employees must provide ALBION COLLEGE with at least 30 days advance notice before the leave is to begin. If the need for leave is not foreseeable, and 30 days notice is not possible, notice must be given on the same day that the employee learns of the need for leave, or the next business day, unless circumstances make this impracticable. Leave requests should be made in writing and must set forth the reasons for the requested leave, the anticipated start date of the leave, and the anticipated duration of the leave.

Please print and complete the applicable request form:

pdf Medical Leave Request Form
pdf Care for a family member
pdf Military Leave Request Form
Please contact the Human Resources Office for Personal Leaves


Except in cases of child placement after adoption or foster care, a Certification of Health Care Provider form is also required, Please contact the human Resources Office to Obtain the appropriate Certification form. In most cases, a “doctor’s note” will not be accepted as appropriate medical certification. Employees will be required, unless the College waives the requirement, to recertify the need for the leave at least every thirty (30) days and must report on a periodic basis no less often than every two (2) weeks with respect to their progress or the progress of their parent, spouse or child, and their anticipated date for return to work.

All time off work which meets the definitions under FMLA will be charged against the yearly FMLA allowance.

It may be necessary for the College to contact an employee regarding her/his leave while on leave. If the employee can not be reached at her/his home phone number that is on file with the College for the duration of the leave, and the leave is in excess of 5 working days, the employee must provide contact information (phone & address).

When on medical leave, employees may not engage in conduct that is inconsistent with the need for such leave. Employees on medical leave will not perform any paid work for another employer or any paid self-employment work during a medical leave without the prior approval of the Chief Division Officer and/or the Director of Human Resources.

Additional information can be found at:

http://www.dol.gov/whd/fmla/

pdf FMLAPosting.pdf