HR Operations

Requesting FMLA leave

When to notify

Give at least 30 days’ notice, if you know in advance of your need for a leave of absence.

If you learn of your need for time off or a leave of absence less than 30 days ahead of time, request it as soon as you are able.

How to notify

To request FMLA leave in advance, use your department’s usual leave request procedure.

If your need for leave is unexpected and immediate, notify your supervisor by following your department’s usual call-out procedure.

What to say

When requesting time off or a leave of absence, you do not need to tell your supervisor any specifics about your health circumstances or those of your family member. However, you do need to provide enough information so that your supervisor can understand that your absence may be covered by the FMLA.

If your situation has been approved for intermittent FMLA-covered time off, any time you need to be absent for that reason, you must indicate it is for your FMLA-certified situation. If you have more than one approved FMLA leave, you may need to identify which one you are using when communicating with your supervisor.

Submitting your FMLA request

For campus staff: Request a leave of absence within Workday by selecting either:

  • Leave of Absence- General Request – Sick/Injured
  • Leave of Absence- General Leave Request – Becoming a Parent

For medical centers staff: Contact your leave specialist before submitting a leave request.

What form do I need?

Health-related or New Child Leave: If your absence is for your own, or a family member’s health condition, or for the arrival of a new child, you will need to submit a health-care provider certification form, supporting your need for a leave of absence.

Complete the employee information sections of the appropriate form(s) for your situation. Include your contact information. We need that information so that we can communicate with you and your supervisor regarding your leave needs as explained by your health-care provider. Your health-care provider should complete the medical information section.

There are links to all of the FMLA forms below. You will also be directed to these forms when you request a leave of absence in Workday.

If you need intermittent time off but your provider is unable to specify the exact amounts of time that you will need, we suggest they use this phrasing: “Employee could need up to x hours/days per week/month, from x date to x date.” This allows for some flexibility in dealing with symptoms and flare-ups but also gives your department an idea of what to expect.

Submit the completed form, using the Human Resources contact information listed on the form. Do not attach medical documents to your leave request in Workday.

The form must be returned to HR within 15 days of receipt. Your healthcare provider may fax your completed paperwork to HR, but we recommend that you get a copy yourself so that you can send it to HR directly, if necessary. Provider offices are well intentioned, but HR forms may not be their highest priority!

Call to military duty leave: If your time off or leave of absence is related to a family member being called to military duty, complete the appropriate form below, and submit it to HR with the requested supporting documentation within 15 days of receiving the form. Contact your HR leave specialist with any questions you may have.

Health-care provider certification forms

FMLA (campus) Parental/Maternity Leave for Birth Mother (PDF)
FMLA (campus) Parental Leave for Parent other than Birth Mother (PDF)
FMLA (campus) Personal Serious Health Condition (PDF)
FMLA (campus) Family Member's Serious Health Condition (PDF)
FMLA (campus) Serious Injury or Illness of Military Family Member (MS Word)
FMLA (campus) Military Family Qualifying Exigency (MS Word)

Medical centers

FMLA (med centers) Personal Serious Health Condition - Maternity/Pregnancy (PDF)
FMLA (med centers) Family Member's Serious Health Condition - Parental Leave (not birth mother) (PDF)
FMLA (med centers) Personal Serious Health Condition (PDF)
FMLA (med centers) Family Member's Serious Health Condition (PDF)
FMLA (med centers) Serious Injury or Illness of Military Family Member (PDF)
FMLA (med centers) Military Family Qualifying Exigency (PDF)

What happens after I submit my form?

Once you submit your form(s), your leave specialist will review the information you provided, and if it is sufficient, an email will be sent to your supervisor advising them of the dates and type of leave you have been approved for.

If the information provided isn’t sufficient, your leave specialist will be in touch with you for follow up with your health-care provider.


We protect the confidentiality of your health information. You should not disclose your own or your family member’s medical diagnosis to your supervisor or department. Any required certification should be submitted directly to Human Resources, where it will be kept confidential and separate from your personnel file.