FMLA/OFLA and Leaves of Absence

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    FMLA / OFLA Instructions for EmployeesPerson working on laptop at table

    The following forms will need to be completed once you have notified Human Resources and your supervisor of a need for FMLA/OFLA leave.  If you have any questions or need assistance, please call HR Specialist Kim Reames at 503-385-4706.

    1. Submit a Request for FMLA/OFLA leave form to HR.  This request shall be provided at least 30 days prior to the leave date if the leave is foreseeable.  Once that is received, HR will review the request and respond with an initial eligibility letter.

    2. Complete a Health Care Provider Certification Form form (Your doctor will need to complete this form).  This form needs to be completed and returned to HR within 15 days.  Your leave will then be designated and tracked.

    3. When you have been released to return to work, have your Doctor complete a Release to Work Authorization form.  This must be done prior to returning to work.  This includes light duty, reduced hours or returning full time.


    Exclamation point icon Things to know:

    • FMLA/OFLA is unpaid, however employees are entitled to use their accrued leave.

    • Employees are generally entitled to 12 weeks of leave within any one year period.

    • FMLA/OFLA runs concurrently (at the same time) for a combined total of 12 weeks.  Leave may be continuous or intermittent.  Intermittent is tracked by the hours taken; contact HR for assistance.

    • Leave Accruals: Leave accrual will not accumulate while on unpaid FMLA/OFLA leave.

    • AESOP:  Contact your supervisor to discuss how/when your time will be entered.

    • Insurance: During FMLA/OFLA leave, the employer must maintain the employee’s health coverage under any “group health plan” on the same terms as if the employee had continued to work.  The WESD will continue to make its contribution; but if there are any out-of-pocket expenses, you will need to make arrangements with Payroll to pay your portion. 

    • Sick Leave Bank: If a member meets the eligibility requirements as per Board Policy, the committee may authorize Sick Leave Bank time to cover any hours of absence that qualify.  If approved, sick leave bank can provide up to 25 days (prorated based on your FTE).


    Form icon

    FMLA/OFLA Forms:

    Employee Guide - The employee's guide to the Family and Medical Leave Act

    Request for FMLA/OFLA Leave

    Health Care Provider Certification Form

    Release to Work Authorization Form

    Request for Sick Leave Bank

  • Leaves of AbsenceStreet sign stating leave of absence

    A regular employee, upon application in writing and upon approval of the Superintendent, may obtain leave of absence without pay for a period not to exceed one year, except as provided in Oregon Revised Statutes. Sick leave, vacation time, and other employee benefits, shall not accrue during the period of the leave. The following provisions must be adhered to when such leave is used:

    Prior Application - All applications must include the effective date of the leave and the date on which the leave will terminate. Applications shall be submitted to the Superintendent, when possible, no later than sixty (60) days prior to the date the leave is to become effective.

    Reinstatement Upon Expiration - At the expiration of the leave, employees shall be reinstated to service with the ESD in a position comparable to the one held at the time the leave commenced without loss of any rights or benefits which would ordinarily accrue during any leave of absence. Except where applicable law requires, seniority rights are not accrued while on leave.

    Exceptions - Employees will be returned to service with the ESD upon the expiration of leave in a position at least commensurate with the position formerly held, except when the position formerly occupied has been abolished.

    Form icon
    Leave of Absence Form:

    Leave of Absence Request Form