This page provides FMLA Information for HR Administrators.

Please visit UCnet to find the following information and documents related to Family and Medical Leave resources, university policies, and contract provisions:

  • Family and Medical Leave - Key Information:
    • FML Guidelines - a step-by-step guide to administer routine FML requests and pregnancy disability leave (PDL) requests
    • Notices
    • Certifications
    • Additional resources (forms, checklists and facts)
  • Sample Letters:
    FMLA sample letters, created by UCnet, are currently available in PDF  format on the UCnet website. For your convenience, here are the sample letters in Word  format. Note: these letters belong to UCnet - please consult the UCnet website for the most up-to-date information. If you have any questions about the use of these letters, please contact your Employee Relations Consultant.
  1. Employee Not FML Eligible - For All FML Requests except PDL
  2. Employee FML Eligible but Leave Entitlement Exhausted - For All FML Requests except PDL
  3. Employee FML Eligible - For Leave for Employee's Serious Health Condition
  4. Employee FML Eligible - For Leave for Family Member's Serious Health Condition
  5. Employee FML Eligible - For Military Caregiver Leave
  6. Employee FML Eligible - For Qualifying Exigency Leave
  7. Employee FML Eligible - For Parental Leave (when Employee is not Birth Mother)
  8. Employee FML Eligible - For Combined PDL and Parental Leave
  9. Employee Not FML Eligible - For Requests for PDL only
  10. Employee FML Eligible but Leave Entitlement Exhausted - For Requests for PDL only
  11. Employee FML Eligible - For Requests Limited to PDL
  12. Certification and/or Declaration Not Received - For all FML Leaves
  13. Certification Incomplete or Insufficient - For all FML Leaves
  14. Designation Letter - For All Approved and Denied FML Requests except Approved Requests for Combined PDL & Parental Leave
  15. Designation Letter - For Approved Combined PDL and Parental Leave
  16. PDL Confirmation Letter - Employee Not FML Eligible or Employee FML Eligible but Leave Entitlement Exhausted
  17. Letter for Change in End Date of PDL - For Approved Combined PDL and Parental Leave
  18. Recertification - For Leave for Employee' or Family Member's Serious Health Condition