Grcc Family And Medical Leave (Fmla) Request Form - Grand Rapids Community College Page 3
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A rolling (12) month period measured backward from the last date any leave is taken will be used.
Employees who return to work from family or medical leave of absence within or on the business day
following the expiration of the twelve (12) weeks are entitled to return to their job or an equivalent
position without loss of benefits or pay.
Except in cases of medical emergency, applications for family leaves of absence must be submitted in
writing. Applications should be submitted at least thirty (30) days before the leave is to commence, or as
soon as possible if thirty (30) days notice is not possible. Appropriate forms must be submitted to the
Personnel Dept. to initiate the leave.
Employees requesting leave for serious health conditions must provide the College with the appropriate
medical certification. To return to active status, medical certification is also required.
The Executive Director of Personnel will administer the rules of the Family and Medical Leave Act.
Appeal of the decision of the Executive Director of Personnel should be filed with the vice President of
Community Outreach and College Relations within five working days of the receipt of the written
decision.
(You can find this policy in the Policy Manual, beginning on page 14. Adopted September 21, 1993)
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