ADA & Leaves

This website is the location for the following employee benefits:
  • Family Medical Leave Act (FMLA)
  • Medical Leaves
  • Non-Medical Leaves
For further information on the following employee benefits please refer to 535net:
  • Americans with Disabilities Act (ADA)
  • REA Emergency Sick Leave Pool (ESLP)

Jody Bangert
Health and Absence Support Specialist
Phone: 507-328-4249
Fax: 507-328-4206
Edison Building - Office of Human Resources

FMLA & Medical Leaves

This act requires employers to provide up to 12 weeks of job-protected leave to eligible employees. Please see the FMLA Poster and additional forms below.

  • Employee Guidance for FMLA and/or Medical LOAs
  • Employee Guidance for FMLA and/or Parental LOAs
  • FMLA & Medical LOA Request Form
  • FMLA Certification Form - Current Military Member
  • FMLA Certification Form - Employee's Family Member
  • FMLA Certification Form - Employee
  • FMLA Certification Form - Exigency
  • FMLA Certification Form - Military Veteran
  • FMLA Poster
  • Maternity/Parental Leave Checklist
  • Medical Leave Checklist 
  • Return to Work Status Form 

  • Non-Medical Leaves

    Website by SchoolMessenger Presence. © 2019 West Corporation. All rights reserved.

    Rochester Public Schools does not discriminate on the basis of race, color, creed, religion, national origin, sex, age, marital status, status with regard to public assistance, sexual orientation, or disability.