Family and Medical Leave (FMLA) Request

What is FMLA?

If you would like to request FMLA please use this form.

FMLA stands for Family and Medical Leave Act of 1993. At the University of Wyoming, we provide eligible employees up to 12 weeks of job-protected leave in a 12-month period for the following reasons:

  • Incapacity due to pregnancy, prenatal medical care or child birth.
  • To care for the employee’s child after birth, or placement for adoption or foster care.
  • To care for the employee’s spouse, son or daughter, or parent, who has a serious health condition.
  • Serious health condition that makes the employee unable to perform the essential functions of his/her job.
  • Qualified exigencies for eligible employees whose spouse, son, daughter or parent is on covered active duty or call to covered active duty status; or up to 26 weeks of leave to care for a covered service member during a single 12-month period.


Currently FMLA is administered by the Human Resources Benefits Office.  Employees must first work with the Human Resources Benefits Office prior to FMLA being entered into HCM.  For additional information see the FMLA Benefits website.

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Article ID: 73479
Sun 3/10/19 2:07 PM
Fri 12/2/22 8:43 AM