Family Medical Leave Act (FMLA) / Disability

Family Medical Leave Act (FMLA) / Disability

This section of the Utica College website contains information and forms for Family Medical Leave (FMLA)/Disability leave in case of your own serious illness or if you need to be the primary caregiver for one of your dependents (as defined by the FMLA). When you have advance notice that you will be in need of FMLA, federal law requires that you give your employer 30 days’ notice of your intent to use family medical leave. In case of emergencies in which 30-days’ notice will not be possible, it is always best practice to give your immediate supervisor and Human Resources as much notice as practical as to when you will be out for FMLA/Disability. Disability is defined as any medical absence of more than 5 business days.

  • Related Documents
  1. PFL-1: Request for Paid Family Leave
  2. PFL-2: Bonding Certification
  3. PFL-3: Release of Personal Health Information Under the PFL Leave Law
  4. PFL- 4: Health Care Provider Certification
  5. PFL- 5: Military Qualifying Event
  6. Benefit Time Default Notice
  7. PFL Waiver


Office of Human Resources
124 White Hall

(315) 792-3276
(315) 792-3006
1600 Burrstone Road | Utica, NY 13502