As a reminder, the City is now outsourcing Family and Medical Leave Act (FMLA) processing to FMLASource. To file a claim for a leave of absence, follow these step-by-step:
1. Contact FMLASource
a. Website: FMLASource.com b. Phone: 844-862-0892, Monday - Friday, 7:30 am - 9:30 pm
2. Review the Medical Certification Form (MCF) in your FMLASource Leave Notification Packet or download it from FMLASource.com
a. Medical certification forms are time-sensitive. Check the due date on your initial request letter from the Packet
3. Take the blank MCF to your or your family member’s physician to be completed
a. If leave is not for medical reasons, follow instructions from an FMLASource specialist or info in the Packet b. FMLASource must receive the completed MCF before the due date. It is your responsibility. If there are delays completing the form, contact FMLASource before the due date
4. Return the completed form to FMLASource:
a. Fax: 877-309-0218b. Email: FMLACenter@FMLASource.comc. Address: FMLASource, NBC Tower - 13th Floor 455 N. Cityfront Plaza Drive, Chicago, IL 60611-5322
5. Receive and review the decision letter from FMLASource. Decisions are based on the certification form completed by the health care provider. Notify FMLASource if your leave is denied and you need to clarify the next steps.
If approved for the leave, you will be responsible for keeping track of your available entitlement:
If you have a qualifying family or medical leave situation, but are not qualified for FMLA (e.g., you haven’t worked for the City for 12 months and have not worked 1250 hours in the preceding 12-month period), you should still file a claim through FMLASource. They will deny the FMLA claim and send you paperwork to initiate an ADA claim. In instances of pregnancy (of self), you will receive paperwork to file a claim under the Pregnant Workers Fairness Act. See chart for more information.