Family Medical Leave Act (FMLA)

Leave of Absence

If you or one of your immediate family members is suffering from a serious health condition, you may be able to take a leave of absence of up to 12 weeks from your job through FMLA.

The Family Medical Leave Act (FMLA) can provide up to 12 weeks of unpaid protected leave for specified family and medical reasons. FMLA is a federally mandated program that helps protect you in case you, a parent, child, or spouse (including Common-Law Spouse or Domestic Partner with affidavit) have a serious health condition. The most common type of leave is to care for an employee’s serious health condition. Basic types of leave also include family leave for any of the following reasons:

  • Father’s attendance at birth of child
  • Parent’s care of child after birth
  • Placement of child for adoption or foster care
  • Caring for the employee’s spouse, parent, or child with a serious health condition

This includes partners in a civil union or domestic partnership in Colorado. For more information and frequently asked questions see FMLA-Frequently Asked Questions.

In order to qualify for FMLA, you must meet these requirements:

  • You must have been employed by the district for at least 12 months.
  • You must have worked at least 1,250 hours during the 12 months prior to the start of your leave of absence.

In order to get paid during a leave of absence, you must use all of your accumulated Sick, Personal, and Vacation time (if eligible), Sick Leave Bank. You can calculate the approximate amount of pay you can expect to receive while on leave. Just click here to use the Salary Continuation Worksheet. Medical Coverage While On Leave While you are on a paid leave, all your insurance benefits will continue. If the leave is unpaid, but you’re still on FMLA leave, then you will only owe the amount that your district contribution does not cover. If you are still on unpaid leave after FMLA expires, you will be notified of how to continue benefits through COBRA.

If you would like to request a leave of absence, you must do so through Employee Space. You’ll also need to review the Employee Reference Guide for instructions on how to apply for a leave of absence. Within 15 days of requesting a leave of absence, you must submit medical certification documentation. To get a copy of the Physician Information Sheet, click here.

In order to qualify for a Serious Health Condition or Maternity Leave, you must complete a copy of the Employee’s Own Health Leave Form. Once you’ve completed the form, you can bring it in to Employee Services. You can also fax it to 720-423-3853, or send it by email to Connect_Humanresources@dpsk12.org.

To request an Intermittent Leave, you must complete either an Employee’s Own Health Leave Form or a Family Member’s Health Leave Form. Once you’ve completed the form, you can bring it in to Employee Services, fax it to 720-423-3853, or send it by email to Connect_Humanresources@dpsk12.org. You do not need to submit a return to work release prior to returning to work. If you need to extend the Intermittent Leave beyond six months, you must re-certify and request a new leave.

Military Leave is available for an employee who is a covered service member that is seriously injured or ill, or an employee who cares for a covered service member who is seriously injured or ill. To request this type of leave, please select and complete the appropriate form below: