Update to RCUH Family Leave (FMLA) Application Form

To: All Principal Investigators and RCUH Employees

To assist in preparing for any potential operations changes, we have updated our RCUH FMLA Application form by adding a Part IV: Principal Investigator or Supervisor Acknowledgement. If an employee’s leave is foreseeable, the employee must notify and obtain a signature from his/her Principal Investigator or Supervisor prior to submitting their application form to RCUH.

As the policy states in section C) Responsibilities of Parties:

(1) Employee Must Request for Family Leave:

  • If leave is foreseeable, the employee shall provide his/her direct supervisor and the RCUH Human Resources Department with advance notice by submitting a Family Leave Request Form at least thirty (30) days before the requested leave is set to begin.
  • If leave is unforeseeable, the employee shall notify his/her direct supervisor and the RCUH Human Resources Department as soon as practicable.

For more information and the updated FMLA Application Form, please visit 3.660 RCUH Family Leave Policy.

If you have any questions, please contact us via email at [email protected].