Family Medical Leave (FML)
Family and Medical Leave is a benefit that provides eligible employees up to 12 weeks of unpaid leave in a 12 month period for:
• the birth and care of a newborn child of the employee;
• the placement with the employee of a son or daughter for adoption or foster care;
• to care for a spouse, son, daughter, or parent with a serious health condition;
• to take medical leave when the employee is unable to work because of a serious health condition; or
• for qualifying exigencies arising out of the fact that the employee’s spouse, son, daughter, or parent is on active duty or call to active duty status as a member of the National Guard or Reserves in support of a contingency operation.
How to Apply for Family Medical Leave
You must complete the Request for Family or Medical Leave form 
including your supervisor’s signature. Your department keeps the original; you keep a copy and send a copy to HRM. Please have the health care provider complete the appropriate Certification of Health Care Provider form, depending on whether the request is for you or a family member. The provider’s office can fax the completed form to Human Resources Management (HRM), 972-883-2156, attention Allan Saylor. HRM reviews the documentation and issues you and your department a Designation Notice regarding your eligibility.
Forms Required
Contact Us
Click on the above link to view a list of Employment staff that can assist you
Last Updated: March 5, 2013
