The Essential Guide to Family & Medical Leave

344 | the essential guide to family and medical leave
Sample
Parent: The eligible employee’s biological, adoptive, or foster mother or father,
or an individual who was the legal guardian of the eligible employee when the
employee was a child.
Parenting Leave: Leave following birth, adoption, or foster placement of an eligible
employee’s child, including bonding leave.
Reinstatement: Restoration of employee to his or her original position when the
employee returns from family or medical leave.
Serious Health Condition: Illness, injury, impairment, or physical or mental condition
that involves one of the following: 1) inpatient care at a hospital, hospice,
or residential medical care facility; 2) incapacity for more than three calendar
days with continuing treatment by a health care provider; 3) incapacity due
to pregnancy or prenatal care; 4) incapacity or treatment for a chronic serious
health condition; 5) permanent or long-term incapacity for a condition for which
treatment may not be effective (such as a terminal illness); or 6) absence for multiple
treatments for either restorative surgery following an injury or accident or a
condition that would require an absence of more than three days if not treated.
Spouse: A person of the opposite sex to whom the eligible employee is legally
married.
Twelve-Month Leave Year: The rolling 12-month period measured backward from
the first day that an eligible employee takes family or medical leave.
1. Leave Available
[Option 1—if company policy provides for more than 12 weeks of leave] An eligible
employee may take up to ___ weeks (__ days) of family or medical leave in
the 12-month leave year for any of the following reasons:
• because the employee’s own serious health condition makes the employee
unable to work
• to care for a spouse, child, or parent who has a serious health condition, or
• to care for a newborn or newly adopted son or daughter or a recently placed
foster child.