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5.14. Return from Leave. The Company will require an employee out on FMLA leave due to <br />the employee's own serious health condition or the serious health condition of a family member <br />to submit a Family and Medical Leave Status Report to the Human Resources Representative <br />every thirty (30) days advising of his or her status and intent to return to work upon the <br />completion of the leave. A copy of the Family and Medical Leave Status Report is available <br />upon your request from the Human Resources Representative. Depending on the relevant facts <br />and circumstances related to the individual employee's leave situation, status reports may be <br />required at shorter intervals. Employees returning from a personal medical leave are required to <br />provide a Fitness for Duty Certification from a health care provider indicating that the employee <br />is able to resume work. The Fitness for Duty Certification form must be completed in its entirety <br />and returned directly to the Human Resources Representative. A copy of the Fitness for Duty <br />Certification is available from the Human Resources Representative. The Company may delay <br />the employee's restoration to employment until the certification is provided. Employees who do <br />not return to work upon the expiration of the leave may be treated as having voluntarily <br />terminated. <br />An employee who requests an extension (should the leave be for less than 12 weeks) of FMLA <br />leave must submit his or her request for an extension, which includes the reason for the <br />requested extension, to the Human Resources Representative prior to the expiration of the <br />leave. <br />6. DOMESTIC VIOLENCE LEAVE <br />b.l Background and Eligibility: In accordance with Florida's domestic violence protections <br />(Section 741.313 of Florida Statutes), staff members who have worked for the company for three <br />(3) months or more may be granted up to 3 working days of unpaid leave in any 12 month <br />period if the staff member or a family or household member of an staff member is the victim of <br />domestic violence. <br />6.2. Unpaid leave: A staff member may take the leave as unpaid or may use any available <br />paid leave they may have. <br />6.3. Reasons for Leave: This leave may be used for any of the following reasons: <br />(a) Seek an injunction for protection against domestic violence or an injunction for <br />protection in cases of repeat violence, dating violence, or sexual violence; <br />(b) Obtain medical care or mental health counseling, or both, for the staff member or a <br />family or household member to address physical or psychological injuries resulting from <br />the act of domestic violence; <br />(c) Obtain services from avictim-services organization, including, but not limited to, a <br />domestic violence shelter or program or a rape crisis center as a result of the act of <br />domestic violence; <br />(d) Make the staff member's home secure from the perpetrator of the domestic <br />violence or to seek new housing to escape the perpetrator; or <br />(e) Seek legal assistance in addressing issues arising from the act of domestic violence or <br />to attend and prepare for court related proceedings arising from the act of domestic <br />violence. <br />21 <br />