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File for Family Medical Leave Act (FMLA) or Extended Medical Leave (EML)
NOTE: Even if you have sick and/or vacation hours, your job will not be protected without FMLA.
Step Description Form/Link

You or an immediate family member have a medical condition that will warrant a consecutive absence of three (3) days or greater, or intermittent absences on a consistent frequency not exceeding three (3) consecutive days, you may be qualified for provisions under the Family and Medical Leave Act (FMLA).



As soon as you are aware of the need to file for FMLA or EML, be sure to notify your supervisor immediately of the dates you anticipate being absent.

To file your FMLA or EML claim, call FMLASource at 1-888-789-3994, go online to www.fmlasource.com, download the Mobile App ‘FMLASource Now,’ or email FMLACenter@fmlasource.com.
  • FMLA Source will first initiate the FMLA process, if applicable when an employee needs leave for his/her own health condition and:
    • Is ineligible for FMLA leave due to hours worked
    • Is ineligible for FMLA leave due to length of employment
  • FMLASource will assess and determine decision indicating approval, denial, or partial approval.
  • If FMLASource denies FMLA, they will initiate the EML process next, if applicable when an employe is eligible for EML
Note:    FMLASource will review leave of absence requests in the following order: First - FMLA, Next -EML and/or ADA as applicable (Please read more on ADA on separate section)		 www.fmlasource.com

After contacting FMLASource, watch your mail or email for the claim packet. Once you receive it, fill out your portion of the form then have your Health Care Provider (HCP) fill out the medical certification section.

Return the claim packet back to FMLASource for review no later than fifteen (15) days from the date received.


Please note the following related to approved Consecutive FMLA:
  • Leave rights are limited to twelve (12) weeks in a rolling twelve (12) month period.
  • FMLA time will first be subtracted from your sick time, then from your vacation time.
  • Once your sick and vacation time is exhausted, you are approved for unpaid FMLA time related to the approved FMLA request.
  • As required by Federal Regulations, it is your responsibility to make every reasonable attempt to arrange planned medical treatments as to not unnecessarily disrupt department operations.
Please note the following related to approved intermittent FMLA:
  • You must follow your department’s call-in procedures to report intermittent absences.
  • Please also report your intermittent absences to FMLASource by either calling 1-888-789-3994, go online to www.fmlasource.com, download the Mobile App ‘FMLASource Now,’ or email FMLACenter@fmlasource.com.
  • If absences related to this intermittent request exceed three (3) consecutive days, refer to and follow the steps above to apply for consecutive FMLA; Begin with step 2.

Stay in contact with your department regarding your absence(s) and return to work date.
  • Before you return to work, submit the Release to Return to Work Form to FMLASource via one of the following methods:  online at www.fmlasource.com, download the Mobile App ‘FMLASource Now’, or email to FMLACenter@fmlasource.com.

If you are enrolled in Short or Long Term Disability, please contact MetLife at 1-800-300-4296 to open a claim.
If you are enrolled in the Vacation Leave Bank and will need to request to withdraw hours from the bank during your leave of absence, please contact the Benefits Team at 205-325-5249, Option 4.