Family & Medical Leave


Simsbury Public Schools Family & Medical Leave Act Handbook

This handbook will provide you with the Simsbury Board of Education Policy 4260.5 for Family and Medical Leaves of Absence, as well as supplemental clarifying information regarding the administration of the leave.  The links to the necessary forms are included in this handbook as well as below.

Department of Labor Family & Medical Leave Act Poster 

FMLA Forms:

WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition

WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition

WH-384 Certification of Qualifying Exigency for Military Family Leave

WH-385 Certification of Serious Injury or Illness of Covered Service Member for Military Family Leave

For more information on the Family Medical Leave, please contact:

Cindi Freilinger
Human Resources Coordinator
(860) 651-3361