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CAREERS

Important Employee Information Checklist

  • Complete the FML application. Employee completes the first portion, the physician completes the second portion. Make sure and sign the bottom of the first page.
  • FML requests must be submitted thirty days (30) prior to leave. FML will not be approved retroactively except in the event of a medical emergency.
  • Requests of intermittent FML will require recertification promptly at the end of approval dates listed in your FML letter.
  • Failure to provide timely recertification will result in absences not covered by the Family Medical Leave Act.
  • Once completed your FML application can be submitted to the FML office. Email: LeaveAdminFMLA@uky.edu; fax: 859-257-2010 or 859-257-1679.
  • The University has five business days to respond to your request. You will be via email of our determination.
  • If you are approved for FML, any hours used for this purpose (paid or unpaid) are deducted from the 12-week maximum allowance.
  • While on FML, if an extension is needed, you will need to contact your Supervisor and the FML Administrator five days in advance of your original date of return. Additional documentation will be required from your physician to support the extension.
  • Upon your return to work, you will be required to turn in a return to work certification to your Supervisor. Please note that light duty is only allowed in a work-related injury.
INCOMPLETE FORMS WILL NOT BE PROCESSED