Intermittent Leave (FMLA)
Applying for Intermittent Leave
The Process
Family and Medical Leave Act Flowchart for Intermittent Leave
The Forms
- Your Rights Under FMLA
- Extended Leave Information
- Form A + Employee -Certification of Health Care Provider
- Form A + Family -Certification of Health Care Provider
- Form A
- FMLA Form WH-384 Qualifying Exigency
- FMLA Form WH-385 Illness or Injury of Covered Service Member – for Military Family Leave
- FMLA Usage Tracking Spreadsheet
These leaves are applied for and approved in the Human Resources Leaves Office, 6400 Uptown Blvd. NE, Suite 210 East.
All paperwork must be original. No third party faxes.
Who Can Use Intermittent FMLA Leave?
In order to use FMLA leave, you must:
- Work for a covered employer. (APS is a covered employer.)
- Have worked for APS for at least 12 months
- Have worked at least 1250 hours in the 12 months before you take leave
- Work for an employer that has 50 or more employees within 75 miles of my job site
Circumstances That Qualify for Intermittent FMLA Leave
Eligible employees may take up to 12 workweeks of FMLA Leave in a 12-month period for the following qualifying reasons:
- A serious health condition that make the employee unable to perform the functions of his or her job, including incapacity due to pregnancy and for prenatal medical care;
- To care for the employee's spouse, son, daughter, or parent who has a serious health condition, including incapacity due to pregnancy and for prenatal care;
- Any qualifying exigency arising out of the fact that the employee's spouse, son, daughter, or parent is a military member on covered active duty or call to covered active duty status.
- APS does not support intermittent or reduced schedule Leave for the care or bonding of a healthy child under the parental, adoption, or foster care categories
Immediate Family Members
Employees can take Intermittent FMLA Leave due to a serious health condition of the following family members:
Spouse
- Spouse means a husband or wife as defined or recognized in the state where the individual was married, including a common law marriage or same-sex marriage. Spouse also includes a husband or wife in a marriage that was validly entered into outside of the United States, if the marriage could have been entered into in at least one state.
Parent
- Parent means a biological, adoptive, step, or foster father or mother, or any other individual who stood in loco parentis to the employee when the employee was a child. This term does not include "parent-in-law."
Son or Daughter
- Son or daughter means a biological, adopted, or foster child, a stepchild, a legal ward, or a child of a person standing in loco parentis who is under 18 years of age or who is 18 years of age or older and incapable of self-care because of a mental or physical disability at the time that FMLA leave is to commence. The onset of a disability may occur at any age for purposes of the definition of an adult "son or daughter" under FMLA.
Did You Know?
In order for a parent to take FMLA leave for a child who is 18 or over, the son or daughter must:
- Have a disability as defined by the Americans with Disabilities Act (ADA) at the time the leave is to commence
- Be incapable of self-care because of the disability
- Have a serious health condition, and
- Need care because of the serious health condition
Substitution of Paid Leave
Compensatory time will not be applied to any leave of absence.
Substitution of Pay for Employee's Illness
APS requires employees to substitute or use paid leave during the FMLA Leave. Once all absence balances of sick, personal, and annual leave are exhausted, the remaining FMLA hours will be unpaid.
Substitution of Pay for the Care of a Family Member
APS allows up to three (3) [or in some cases--5] days of sick time towards the care of a family member. After the three sick days are exhausted, personal leave, and annual (if applicable) leave will be used. Once absence balances are exhausted, the remainder of the leave will be unpaid. An employee is allowed the time to be absent, but the absences may be in an unpaid status.
Substitution means that the accrued paid leave will run concurrently with the unpaid FMLA Leave. When paid leave is used for an FMLA-covered reason, the leave is FMLA-protected. For the purpose of substituting accrued paid leave, the employee must have both earned the leave and be able to use that leave during the FMLA period.
The employee receives pay pursuant to the employer's applicable paid leave policy during the period of otherwise unpaid FMLA Leave. An employee's ability to substitute accrued paid leave is determined by the terms and conditions of the employer's normal leave policy.
- For example, an employer is not obligated to allow an employee to substitute paid sick leave for unpaid FMLA leave in order to care for a child with a serious health condition if the employer's normal sick leave rules allow such leave only for the employee's illness.