Outagamie County provides family and medical leave in accordance with the Federal Family and Medical Leave Act (FMLA) and the Wisconsin Family and Medical Leave Act.
An employee qualifying for coverage under both Wisconsin and Federal acts may receive the greater of the two benefits. Federal and Wisconsin leave benefits are taken concurrently (at the same time). Entitlements are calculated on a calendar year, January 1 to December 31 for both state and federal purposes.
An employee who would like to request FML should review the policy found in the Employee Handbook located on the Human Resources main page on the MyOC Internal website. After reviewing, please begin by completing the Employee Request Form listed below.
Step 1- Complete the FMLA Request Form (choose either PDF Fillable or PDF Handwrite option):
Step 2- Complete the Employee section of the applicable Medical Certification and submit the entire form to your medical provider:
Step 3- If you are on leave for Self please provide a Return to Work slip before your return:
Employee Intermittent Time Reporting