Family Medical Leave Act

Family and Medical Leave Act (known as FMLA) provides up to 12 unpaid weeks of job-protected leave per year for employees in certain situations.

Employee Rights & Responsibilities

Reasons an Employee Can Take FMLA Leave

  • Birth, adoption, or placement of a foster child.
  • For a serious health condition that makes the employee unable to perform the essential functions of their job.
  • For any qualifying exigency arising out of the fact that an employee's spouse, child, or parent is on active military duty or call to covered active duty status.
  • To care for a covered servicemember with a serious injury or illness (employee's spouse, child, parent, or next of kin).
  • To care for a spouse, son, daughter, or parent with a serious health condition.

How to Apply

Complete the Request for a Leave of Absence form and return it to the designated person in your department.

Health Care Provider completes: (return to Human Resources Department)


FMLA is an unpaid leave, unless the employee has leave accruals or is eligible for another program that would allow the employee to be paid by the City of Worcester while absent due to a serious health condition.

Contact Information

Human Resources
City Hall Room 109
455 Main Street
Worcester, MA 01608

Accessible via WRTA Bus Line. View Schedules

Phone: 508-799-1030
Fax: 508-799-1040
Email Us

Office Hours:
Monday - Friday
8:30 a.m. - 5 p.m.

Stay Connected:
Facebook Icon

City of Worcester
Worcester 311
Monday - Friday
8 a.m. - 5 p.m.
Phone: 311
Contact Us
Services Tour

Facebook, X, YouTube and Instagram Icons
ALERTWorcester Logo
City of Worcester Seal Image Worcester Public Schools Seal Image Worcester Public Library Logo
Home | Login | Disclaimer | Privacy Policy | Site Map

© 2024 Copyright City of Worcester, MA. All Rights Reserved.

Official City of Worcester, MA Website