The information located on this page will provide all employees with an understanding of their rights and responsibility under state and federal leave laws. The City’s Human Resources team is here to help with FMLA/OFLA/PLO benefits, eligibility, and any general leave questions you may have. Please reach out to us at x7529 or
Applying for leave benefits
Start here, for any type of leave:
1. Notify your supervisor
2. Submit a leave request through ESS:
Note: You will need to be on the City network to submit a request
Notice Requirements for Leave:
30-day notice: For foreseeable leave needs, employees must provide the City with at least 30 calendar days’ notice before taking leave by notifying their supervisor or designee in their supervisor’s absence, and by notifying Human Resources.
24-hour emergency notice: In an emergency, employees must give verbal notice to the City (their supervisor, at a minimum) within 24 hours of their absence that they need to take family, medical, or safe leave. Within three (3) days after starting leave, written notice to the City (as outlined above) is required. Verbal notice for unforeseeable leave may be given by anyone on behalf of the employee. Written notice may be given by the employee’s emergency contact person, or any other person otherwise designated by the employee, as reflected in the employer’s records.
Note: Under PLO regulations, failure to give notice as required by the PLO statute, may result in PLO benefits reduction of up to 25% of the first week’s benefit.
3. Once the leave request is received, Human Resources will provide the employee with the following (if applicable to their leave):
- Initial Notice of Eligibility and Rights
- Certification of Health Care Provider (Must be submitted to Human Resources within 15 calendar days after the employer’s request for certification. If the employee fails to provide complete and sufficient medical certification, their leave request may be denied.)
- Return-to-Work Restrictions Form, if applicable. (Must be provided to your supervisor or Human Resources prior to returning to work.)
- Designation Notice
If you are applying for PFML (PLO) you ALSO need to do these steps:
1. Complete the leave packet that pertains to your leave need:
Voluntary Tax Withholding Request
Note: All items on the form are required unless noted as optional.
2. Once the packet has been completed and signed, please return to The Standard along with any additional forms or supporting documents.
Forms can be submitted either by fax: 866-751-5174 or email at
3. The Standard will review the protected leave forms and notify the employee if the claim has been approved or denied within approximately one week of receiving all completed documentation.
Note: All forms must be returned within 15 days of your request or your claim will be denied. If you need more time, please contact The Standard to extend your deadline.
(coming soon...)
