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Family, Medical Leave Information

Employees needing to take any leave of absence more than a few days should fill out an Application of Leave form in addition to their normal time off request procedure. This form should be sent to the Human Resource Department at 1550 E. Walnut Grove Rd., Derby KS 67037.

     • FMLA or Extended Leave Request Form (Form 27)

Eligible employees are entitled to Family Medical Leave benefits, should the need arise, but notice should be given to the Human Resource office. See the district's Family Medical Leave Plan

To be eligible for FMLA leave provisions, the employee must:
• Have worked for Derby Public Schools at least 12 months; and
• Have at least 1,250 hours of service with Derby Public Schools during the 12 month period immediately preceding the leave.

For more information about the Family and Medical Leave Act, see the U.S. Department of Labor's Fact Sheet.

Click on the image below or HERE for optimized viewing of FMLA poster information.


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