• Payoll Review

    Payroll - review the following FMLA criteria

  • Salaried (exempt) employee who is contracted for less than 1250 hours in the 12 months immediately preceding the leave may submit a record of tasks and time worked for each task to his/her supervisor for consideration in determining "hours of service," even though the employee would not have rights to be paid for the time.  The supervisor will review and forward his/her approval/disapproval for the tasks and hours submitted to the Superintendent.

    Paraprofessionals must meet a minimum threshold of 970 hours per CBA.

  • Request for Leave Form

    Request for Leave Form

    FMLA and MNPL

  • Please complete this form if you are taking more than 5 consecutive days off, or have the need for intermittent leave due to a serious medical condition or to care for a family member who has a serious medical condition.

    By completing this Request for Leave Form it acts as a notification of intent to apply for FMLA (Family Medical Leave Act) and MNPL (Minnesota Paid Leave)

    FMLA: FMLA helps employees balance work and family needs by allowing time off for significant life events, while also protecting their jobs and benefits.  This is NOT paid leave, and you may be required to use any available leave on these dates.

    MNPL: is a state program providing temporary wage replacement and job protection for most Minnesota workers taking time off for medical needs, family care, bonding, military family, or safety leave, funded by a payroll tax split between employers and employees, starting fully in 2026. It offers partial pay, not full wages, for up to 12 weeks of medical or family leave (20 weeks total), with payments issued directly by the state. 

    MNPL runs concurrently, where applicable, with other leave laws and district benefits, including but not limited to:

    • FMLA (Family and Medical Leave Act): MNPL and FMLA will generally run concurrently when the reason for leave qualifies under both laws.
    • PPL (Paid Parent Leave): MNPL will run concurrently with State of Minnesota pregnancy and parenting leave.
    • Child Care Leave (in master agreements, if applicable): MNPL will run concurrently with Child Care Leave as it exists in various master agreements
    • District paid leave including sick leave, vacation and personal leave.

    The Superintendent will review the request for leave and provide you with a Notice of Eligibility and Rights and Responsibilities.

    It is very important that the dates indicated on this request match the dates put on your MNPL application as well as the dates indicated as time off from your medical provider.

     

  • Request for Leave Form

    Request for Leave Form

    FMLA and MNPL
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    • Leave Request Information 
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    • FMLA (Family Medical Leave Act) 

    • In order to be eligible for up to 12 weeks (or 26 weeks for Military Caregiver Leave) of unpaid leave (in a 12-month period) under the Federal Family and Medical Leave Act (FMLA)*, the following criteria must be met:

      • You have worked for the School District for at least 12 months (need not be consecutive months, but employment periods prior to break in service of seven years or more need not be counted
      • You have worked at least 1,250 hours in the 12 months immediately preceding the leave.
      • At the time leave is requested, you either a) work at a worksite with 50 or more employees, or b) work at a worksite where 50 or more employees are employed by the covered employer within 75 miles of that worksite.

      *State law may provide greater leave rights. Refer to your employee handbook for state and federal leave policies, if applicable.

      You are expected to comply with the School District's usual and customary notice and procedural requirements for requesting leave, absent any unusual circumstances. If your need for family/medical leave is foreseeable, you must give at least 30 days' advance written notice. If this is not practicable, you must give notice as soon as practicable under the facts and circumstances of your particular situation (generally within one or two business days of learning of your need for leave

    • Minnesota Paid Leave 

    • Questions regarding Minnesota Paid Leave should be directed to the State of Minnesota Deed: https://mn.gov/deed/paidleave/employees/

    • If applying for MNPL, please confirm that the dates listed on this request match the dates you have indicated in your MNPL Application.

    • Employees who apply for Minnesota Paid Leave Benefits will be placed on unpaid leave with Independent School District 2168. If you choose to supplement your Paid Leave with available sick leave, those hours will be entered and benefit deductions will continue from that pay. Sick leave supplementation will continue until your leave ends or your sick leave balance is exhausted. If you do not supplement your pay, or if you do not have enough sick leave to cover your benefit costs, you will be billed directly for your benefits. 

  • Request for Leave Form

    Request for Leave Form

    FMLA and MNPL
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