Family and Medical Leave

Welcome to the Family and Medical Leave Act website

This website contains forms, information and links to websites regarding the Family and Medical Leave Act of 1993.

If you have been employed by Gundersen Health System for at least 365 days and work at least 20 hours per pay period, you may qualify for FMLA time off.

For further information regarding FMLA, please use the following links:
Informational links: Forms:
FMLA Request Information
(what happens once you submit your form)

GHS Family and Medical Leave Act Policy

"Your Rights" FMLA Poster
**Please submit your request no more than 30 days prior to your need for FML time**

FMLA Request form

FMLA Hard Copy (paper) form