Parental & Family Leave

Our Parental & Family Leaves provide paid time away from work to recover and bond with your new baby, bond with an adopted or foster child, or care for a seriously ill family member.

Read on to learn more about how to apply for a Parental & Family Leave.

See the Frequently Asked Questions (FAQs) to the right for detailed information about these family-friendly leaves.

Required Documents(Forms)

There are specific forms and/or documentation required by the Company or Federal law to be approved for a leave of absence. Depending on your leave type, your doctor may be required to provide information.

Begin this process as soon as possible to avoid delays in payment and/or approval for leave.

Maternity Medical Leave (First 8 Weeks)

Certification of Health Care Provider for Employee’s Serious Health Condition.
Download Form

Parental & Family Leave Certification Form
Download Form

Parental & Family Leave Request Form
Download Form

Maternity Grant Request Form – If enrolled in our health plan, you’re eligible for this generous benefit!
Download Form

UNUM Claim Form (Only for Hourly Employees)
Download Form

Unum Direct Deposit Form (Only for Hourly Employees)
Download Form

Bonding Leave – Newborn (Non-Birth Parent)

Parental & Family Leave Request Form
Download Form

Maternity Grant Request Form – If enrolled in our health plan, you’re eligible for this generous benefit!
Download Form

You are required to submit specific bonding documentation (one of these)

  • Documentation from hospital, midwife, or doula indicating birth, OR
  • Bonding Leave Self-Attestation Form
    Download Form
Bonding Leave – Adoption

Parental & Family Leave Request Form
Download Form

You are required to submit specific bonding documentation (one of these)

  • Court order or Filed Petition; OR
  • Official documentation from adoption agency;  OR
  • Consent to Adoption document; OR
  • Other legal documentation demonstrating adoption
Bonding Leave – Foster

Parental & Family Leave Request Form
Download Form

You are required to submit specific bonding documentation (all of these)

  • Proof of foster parent license; AND
  • Placement documentation from Dept of Child Services
Caring for Seriously Ill Family Member

Certification of Health Care Provider for Employee’s Serious Health Condition
Download Form

Parental & Family Leave Request Form
Download Form

What’s Next?

Submit your request for leave in Workday.
Login Go to the Request Absence taskSubmit request and attach required forms (if available at this time)

Employee Hub will respond to your request within one business day. For questions, contact Employee Hub or call 1-800-303-0408.


If you’re expecting a baby, you may be eligible for the Maternity Grant Program – extra Health Savings Account (HSA) monies to help offset the costs of the prenatal care and delivery! Learn more about your generous Family-Focused & Reproductive Health Benefits.

Go to Family-Focused & Reproductive Health Benefits

NEED HELP?

EMPLOYEE HUB
Email: [email protected]
Phone: 1-800-303-0408

BIRTH PARENT LEAVE

Read FAQs

Maternity Grant Program
Learn More

ADOPTION/ FOSTER CARE Leave

BONDING LEAVE

FAMILY LEAVE

Forms

Parental & Family Leave Request Form
Download

Bonding Self-Attestation Form
Download

Certification Form
Download

FMLA Certification of Health Care Provider for Family Member's Serious Health Condition Form
Download

Need Help? Reach out to Employee Hub

Phone: 1-800-303-0408 | Email[email protected]