Family and Medical Leave

The Family and Medical Leave Act (FMLA) is a federal law that provides up to 12 weeks for unpaid, job-protected leave for eligible employees for certain family and medical reasons.  Kentucky State Government offers enhanced Family Medical Leave (FML) benefits in some areas to eligible employees. To be eligible for benefits, an employee must have worked or been on paid leave for at least 1,250 hours in the 12 months immediately preceding the first day of FML.

 

 

Leave Entitlement

 

Military Caregiver Leave

 

Qualifying Leave

 

Intermittent Leave

 

Advance Notice and Medical Certification

 

Job Benefits and Protection 

 

KY Administrative Regulation

101 KAR 2:102, Section 3

 

Forms

Family and Medical Leave Application (PDF-12KB)

Designation Notice (PDF-110KB)

Certification of Eligibility and Rights & Responsibilities (PDF-3KB)

Certification of Health Care Provider for Employee’s Serious Health Condition (PDF-624KB)

Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF-589KB)

Certification of Qualifying Exigency For Military Leave (PDF-78KB)

Certification For Serious Injury or Illness of Covered Servicemember - for Military Family Leave (PDF-210KB)

 

 

Contact Information:

Donna Shelton

FMLA Coordinator

Office of Employee Relations

State Office Building

501 High Street, 3rd Floor

Frankfort, KY 40601

(502)564-0348

Donna.Shelton@ky.gov

 

Mary Hook

Executive Director

Office of Employee Relations

State Office Building

501 High Street, 3rd Floor

Frankfort, KY 40601

(502)564-6816

Mary.Hook@ky.gov