ACE/FOP COLLECTIVE BARGAINING MEMBERS ONLY
Employee Medical is the authorized absence for ACE/FOP bargaining unit members whose absence exceeds the employees accrued leave and are not eligible for Family and Medical Leave (FMLA). An employee may be granted Employee Medical without pay for up to twelve (12) weeks less any accrued sick, vacation or personal leave used, unless otherwise required by law.
Qualifying Events
• Employee Serious illness or injury
• Ineligible for Family Medical Leave
WHEN TO SUBMIT A REQUEST FOR LEAVE
An eligible employee will be required to provide the Chief Human Resource Officer or their designee written notification. The bargaining unit member must notify the department head/chairperson one (1) week in advance of scheduled visits. Employee must complete the Request for Leave form and submit this form to the benefits secure upload. The only exception will be when unforeseen circumstances prevent the employee from providing the required notice.
Request must be submitted as soon as reasonably possible when the employee becomes aware of the need.
The Request for Leave form must be completed and submitted to the benefits secure upload to determine and confirm eligibility.
Accrued Leave use
Employee Medical is an unpaid leave of absence. Employees must exhaust their accrued leaves (sick leave, vacation time) before being placed in an unpaid leave status.
Return to work
As a condition of returning to employment, an employee on a leave of absence that made the employee unable to perform the essential functions of the employee’s position, must submit documentation from the employee’s physician that the employee is able to resume work without restrictions. The employee's physician must complete and return the Return to Work and Release Form BEFORE the employee returns to any work.
Forms and Certifications
Request for Leave Form*
Return to Work and Release Form*
Refer to the ACE/ FOP Collective Bargaining Agreements for bargaining unit members.