Leave of Absences

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Employee Leaves

Family and Medical Leave Act (FMLA), California Family Rights Act (CFRA), and Pregnancy Disability Leave (PDL) are leave entitlements to allow employees to balance work and family life by taking reasonable leave for specific purposes. Under Federal and State law, eligible employees are allowed to take up to 12 weeks (480 hours) of unpaid leave within a 12-month period to bond with a newborn or adopted child, to care for your own illness or injury, or to care for a seriously ill child, parent, or spouse. 

FMLA_CFRA FAQ 2019

Request for Leave of Absence Form 2019

Certificate of Healthcare Provider 2019

WHAT STEPS DO I NEED TO TAKE TO REQUEST A LEAVE OF ABSENCE?

 Employees attempting to take leave are responsible for:

  • Provide notice to Manager/Supervisor and Human Resources that a need to take leave exists.
    • If the leave is foreseeable, must provide 30 days' notice
    • If the leave is unforeseeable, must notify Manager/Supervisor and Human Resources as soon as is practical
  • Let the supervisor or manager and Human Resources know if the leave will be taken intermittently or on a reduced leave schedule basis. When you are planning on going on leave and about how long you plan on being on leave,
  • Fill out, sign and date a Request for Leave of Absence Form
  • Have the treating health care provider fill out the Certification of Health Care Provider or similar form for leave due to serious medical condition
  • Submit the Request for Leave of Absence Form to your department have your Manager/Supervisor sign and date the form.
  • Submit your Certification of Health Care Provider and Request for Leave of Absence form to the Human Resources Division via email at HR@cityofgalt.org

Please note FMLA and CFRA are unpaid  leaves, so you will need to contact the State of California to inquire about State Disability. SDI is administered through the Employment Development Department (EDD). It is a partial-wage replacement insurance plan for California workers mandated by the state and funded through employee payroll deductions.

State Disability Contact Information

English: 1-800-480-3287

Spanish: 1-866-658-8846

visit: http://www.edd.ca.gov/Disability/SDI_Online.htm

To coordinate paid accruals with leave, please contact Carly Saunders in Payroll  csaunders@cityofgalt.org

Military Leave

Employees who are members of the U.S. Armed Forces are eligible for military leave of absences. These documents outline the policy and instructions on requesting leave. 

Military Leave 0706

Request for Leave of Absence Form 2019

 

NEW! COVID-19 Leave Resources

Temporary Emergency Policy-FMLA Leave Expansion and Emergency Paid Sick Leave

Families First Act- Fact Sheet

Families First Act - EMPLOYEE RIGHTS POSTER

Request for Leave of Absence Form-Families First- COVID-19

The City of Galt provides leave required by the Families First Coronavirus Response Act (“the Act”). These benefits are effective April 1, 2020 through December 31, 2020, and there will be no carryover of benefits after that date unless required by law.

FMLA and Emergency FMLA Leave

Below is a list of common reasons for requesting a protected leave of absence during the COVID-19 pandemic. 

Reason for Leave

Applicable Protected Leave Eligibility

Pay/Wage Replacement

 

Personal Illness related to COVID

 Unable to work or telecommute due to illness or quarantine

 

 

Regular FMLA/CFRA

(3 days or more absence)

 12 months of Service

1,250 hours worked in preceding 12 months

Up to 12 weeks protected leave

  • Emergency Paid Sick Leave Up to 80 hours – full-time
  • Up to 2 weeks average pay- part-time

 Subject to Caps

  •  Employee may also use personal leave accruals (sick leave, vacation, comp time, PTO) to supplement
  •  EDD State Disability Insurance (SDI)

Caring for a covered family member related to COVID*

 (Covered family members include but are not limited to: spouse, domestic partner, child, parent)

 *Emergency Paid Sick leave benefit allows to care for any “individual” for up to 2 weeks.

Regular FMLA/CFRA

(3 days or more absence)

 12 months of Service1,250 hours worked in preceding 12 months

 Up to 12 weeks protected leave

  • Emergency Paid Sick Leave Up to 80 hours – full-time
  • Up to 2 weeks average pay- part-time

Subject to Caps

  •  Employee may also use personal leave accruals (sick leave, vacation, comp time, PTO) to supplement
  • EDD Paid Family Leave (PFL)

To care for child(ren) due to school or daycare closure related to COVID

 (Unable to work or telecommute)

 

 

 

FMLA Public Health Emergency Leave

(Emergency FMLA)

 

30 days of employment or more

 Up to 12 weeks protected leave

 Must have available FMLA leave

 Counts against FMLA entitlement, but not CFRA

  • First 10 Days may use Emergency Paid Sick Leave

    Up to 80 hours – full-time

    Up to 2 weeks average pay- part-time

  •  11th Day onward: 2/3 regular rate of compensation paid by City

Subject to Caps

  •  Employee may also use personal leave accruals (sick leave, vacation, comp time, PTO) to supplement

 

Please contact the Human Resources Division with questions:

Phone: 209-366-7103 or via E-Mail: HR@cityofgalt.org