ADDITIONAL INFORMATION: For further information refer to the appropriate agreements:
Agreement between Montgomery County Education Association and Board of Education of Montgomery County, Rockville, Maryland
Agreement between Montgomery County Association of Administrators and Principals (MCAAP and MCBOA) and Board of Education of
Montgomery County, Rockville, Maryland
Agreement between SEIU Local 500 and Board of Education of Montgomery County, Rockville, Maryland
FAMILY AND MEDICAL LEAVE ACT (FMLA):
Sick Leave and Illness in Family leave may be covered by the Family and Medical Leave Act (FMLA) and, as such, may be counted against
your twelve (12) work-week FMLA entitlement. The FMLA covers leave for the birth and care of an employee’s newborn child, for place-
ment with the employee of a child for adoption or foster care, to care for an immediate family member with a serious health condition, or
for an employee’s own serious health condition.
Leave will be without pay unless the employee’s annual and/or sick leave is allowable under the Agreement. Employees using paid sick
leave not in accordance with the Agreement will be required to reimburse MCPS.
TYPES OF LEAVE
Illness in Family**
Family Bereavement—Specify relationship and date of death.
Civil, Juror, or Witness—Not applicable when employee is plaintiff or defendant. Attach a copy of subpoena.
**Cannot be approved if sufﬁcient leave is not available.
** All hours of available leave will be applied.
READ CAREFULLY BEFORE SIGNING REVERSE SIDE:
I have earned or been advanced leave in the amount requested. I understand that I will be required to repay any monies received for leave
taken in excess of that earned if I resign before the end of the ﬁscal year for which leave is advanced.