FMLASource Contact Info - medical, family medical, pregnancy/parental, child illness, COVID-19, military, ADA

Website: www.fmlasource.com
Email: fmlacenter@fmlasource.com
Phone: 833-515-0763 Call Center Hours 5:30 am-7:30 pm PT Monday-Friday
Mobile App: FMLASource Now (for GooglePlay or Apple iOS). You must have your employee ID number and your home ZIP (postal) code on file with your employer to register.

• FMLA Employee Rights Information
• OFLA Employee Rights Information
• FAMILIES FIRST CORONAVIRUS RESPONSE ACT legal notice

PAT Study Leave 

• Memo
• Application
• Medical 

PFSP Student Teaching Leave

• Memo
• Application
• Medical

Learn Which Leave is Right For You and How to Apply

Review the various leave options and decide which one most closely matches your situation.

Determine Your Time and Benefits

Review how paid time is calculated and understand the effect to your benefits coverage. 

Returning To Work

Notify the appropriate parties in a timely manner to ensure a smooth transition back to work.

PAT Professional Educators - Leave options during hybrid (updated March 16, 2021)
On March 16, Human Resources sent all PAT Professional Educators an email with the Educator Preference & Request for Reassignment Form. Please take a moment to review that email before submitting a leave of absence form. After reviewing that information you still wish to request a leave of absence, please review this information and submit a request through FMLASource if applicable. If you do not qualify for FMLA/OFLA leave, you may use this Educator Request for Unpaid Leave of Absence During Hybrid Form - for requests for an unpaid leave of absence during hybrid (March 19 - end of 2020-2021 school year). 

PFSP Employees - Leave options during hybrid (updated March 18, 2021)
On March 18, Human Resources sent all PFSP employees an email with the PFSP Employee Preference & Request for Reassignment Form. Please take a moment to review that email before submitting a leave of absence form. After reviewing that information you still wish to request a leave of absence, please review this information and submit a request through FMLASource if applicable. If you do not qualify for FMLA/OFLA leave, you may use this PFSP Employee Request for Unpaid Leave of Absence During Hybrid Form - for requests for an unpaid leave of absence during hybrid (March 19 - end of 2020-2021 school year).