Maternity/Family/Child Rearing Leave
MATERNITY LEAVE REQUESTS
Maternity leave requests should be submitted approximately four months in advance of the anticipated birth of your baby. After notifying your principal and/or supervisor, please fill out this form and attach a copy of your doctor's note to the form. Once submitted, you will receive a letter from the superintendent of schools informing you that your leave request will be added to the next Board agenda. To request maternity leave please complete this form.
Your request should include the 1st day you will not be working and the date you are returning. Your return date is preferred to be the 1st day of a marking period or after a specific break, ie winter, spring etc.
Immediately after the birth email Payroll with your baby’s name and date of birth. We will add your baby to your health coverages, if applicable.
After your follow-up doctor's appointment, postpartum, please fax or email Payroll a note from your doctor stating the date you can return to work or if you remain under his care for medical complications.
REQUEST TO EXTEND MATERNITY LEAVE
Any extensions to your original time requested for your leave must follow the same process as your original request. After you notify your principal and/or supervisor. Please complete this form.
Request to Extend Maternity Leave Form
Once submitted, you will receive a letter from Dr. González informing you that your leave extension request will be added to the next Board agenda.
Please refer to the Maternity FAQ's for more details.
Read carefully below for benefits information.
The New Jersey Family Leave Act (NJFLA) provides job protection and Family Leave Insurance (FLI) provides up to twelve (12) weeks of income replacement benefits. Benefits are payable to covered employees from either the New Jersey State Plan or an approved employer-provided private plan to:
Bond with a child during the first 12 months after the child's birth, if the covered individual or the domestic partner or civil union partner of the covered individual, is a biological parent of the child, or the first 12 months after the placement of the child for adoption with the covered individual.
Care for a family member with a serious health condition supported by a certification provided by a health care provider. Claims may be filed for six consecutive weeks, for intermittent weeks, or for 42 intermittent days during a 12 month period beginning with the first date of the claim.
Family member means a child, spouse, domestic partner, civil union partner, or parent of a covered individual.
Child means a biological, adopted, or foster child, stepchild or legal ward of a covered individual, child of a domestic partner of the covered individual, or child of a civil union partner of the covered individual, who is less than 19 years of age or is 19 years of age or older but incapable of self-care because of mental or physical impairment.
NJ FAMILY LEAVE BENEFITS APPLICATION (FORM FL-1)
Employees covered under the New Jersey State Plan can obtain information pertaining to the program and an application for Family Leave Insurance benefits (Form FL-1) by visiting the Department of Labor and Workforce Development's website at www.nj.gov/labor, by telephoning the Division of Temporary Disability Insurance's Customer Service Section at (609) 292-7060, or by writing to the Division of Temporary Disability Insurance, PO Box 387, Trenton, NJ 08625-0387.
Instructions for Completing Form FL-1
(The full application with instructions is attached at the end of this section)
The Westfield Board of Education is covered under the New Jersey Family Leave State Plan.
To apply, follow the steps:
1. You cannot apply until your first day of unpaid leave.
2. You will file the application with the State of NJ, as detailed below.
YOU, the applicant will complete all applicable parts of the application. Payroll will provide you with specific field data to complete Parts A* & B* once your unpaid date is known.
* Specific field data will be forwarded to you by Payroll for your completion before your first unpaid day.
You will then transmit the entire completed application, to the state for processing.
3. Send all parts of the FL-1 form and any attachments (if applicable) to:
Division of Temporary Disability Insurance - Fax 609-984-4138
OR Mail to: Division of Temporary Disability / PO Box 387 / Trenton, NJ 08625-0387