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Requesting a Leave of Absence

Family Medical Leave and Short Term Disability at NSU

The Family Medical Leave Act (FMLA) provides eligible employees with up to 12 weeks of unpaid, protected leave to care for themselves and/or to provide care for eligible family members with a serious health condition. To be eligible for FMLA, employees must have been employed with NSU for 12 months and worked a minimum of 1,250 hours. 

Matrix Absence Management administers Family Medical Leaves, Medical Leaves of Absence, and determines eligibility for payment under NSU's Short Term Disability program.

After requesting leave and completing the intake process with Matrix, eligible employees will receive a comprehensive leave packet in the mail informing them of their eligibility, rights, and responsibilities under the FMLA and NSU policy.

Review the sample Leave of Absence Reminder and Fitness for Duty form sent by the Benefits and Wellness Team. 

Ten things to consider when requesting a leave of absence from NSU

  1. Review the Leave Policies before making a request.
  2. Report ANY leave that may qualify for Family Medical Leave.
    • Absences of 3 or more consecutive days
    • Treatment requiring 2 visits within 30 days
    • 1 visit followed by a regimen of care within 7 days
    • If you are unsure if your condition is eligible, contact Matrix 
  3. Paid time off does not accrue and holiday/university closures are not paid during leave.
  4. Update your mailing address and contact information by emailing
  5. Inform your Health Care Provider (HCP) that Matrix will be sending them medical certification for your leave.
  6. Remember, delays in certification can negatively impact your pay!
  7. Working in any capacity is not permitted while on an approved medical leave of absence.
  8. Maintain periodic contact with your Claims Examiner at Matrix during your leave.
  9. Maintain periodic contact with your supervisor/manager during your leave.
  10. Complete and return the Fitness for Duty Form to NSU before returning to work.

Employees are required to use their available sick, personal, and vacation balances during Family Medical Leave and Medical Leave in order to remain in paid status, this includes Holidays and university closures. 

Employees are required to pay their portion of all applicable benefit premium while on leave. Benefit premium will be deducted through regular payroll deductions when either, leave is paid using available paid time off, OR, when leave is paid through the Short Term Disability program. Unpaid benefit premium will either be paid directly to NSU if a leave is unpaid, or collected through arrears when applicable.

*Short Term Disability provides reduced salary payments equal to 60% of an employee's base bi-weekly earnings subject to review of medical certification and approval by Matrix, Short Term Disability benefits are applied once all available paid time off has been exhausted. Medical certification not submitted to Matrix for review in a timely fashion can result in a delay in Short Term Disability benefit payment until approved.  If you have any questions regarding your leave of absence, contact your Claims Examiner directly. 

Contact Matrix to Request Leave

Matrix makes it easy for you to file a claim 24 hours a day, 7 days a week.

Go to to file a claim. Or, if you don’t have Internet access, you can call 1.877.202.0055.

For more information, review NSU’s employee policy manual online and the Short Term Disability program information at

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