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US Family Leave Guide
Sick Leave & Medical Leave

Types of Leave: A Complete Guide to Every Kind of Time Off

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US Family Leave Guide Editorial Team
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TL;DR: There isn't one "leave law" that covers everything, there are at least eight distinct types of leave from work, each with its own rules on pay, job protection, and eligibility. FMLA gives you up to 12 weeks unpaid and job-protected. State paid family leave pays you a percentage of your wages in 13 states. PTO, sick leave, bereavement, and personal leave of absence are mostly set by your employer, not the law. Below is a short summary of every type, with a link to the full guide for each one.

Figuring out "what kind of leave do I even qualify for" is harder than it should be, because the answer depends on why you're taking time off, where you live, and how big your employer is, and no single law covers all of it. This guide is the map, not the destination: each section below gives you a quick, accurate summary of one type of leave, then sends you to the dedicated guide on this site for the full breakdown, eligibility rules, how much you'll get paid, and how to apply. Start here to figure out which type applies to your situation, then click through for the details.

Every Type of Leave, at a Glance

Type of Leave

Paid?

Job Protected?

Who Decides

FMLA

No

Yes

Federal law

State Paid Family Leave

Yes (partial wages)

Depends on state

State law

Maternity / Paternity / Parental

Depends on state and employer

Depends

Federal + state + employer

Short-Term Disability

Yes (partial wages)

Not on its own

Insurance policy or state law

Bereavement Leave

Depends on state and employer

Rarely

Mostly employer policy

Sick Leave

Depends on state/city

Rarely

State/local law + employer

Medical Leave of Absence

Depends

Only if FMLA/ADA applies

Employer policy + federal law

Personal Leave of Absence

No

No

Employer policy

PTO / Vacation

Yes

No

Employer policy

Military Leave (USERRA)

No

Yes

Federal law

FMLA: The Federal Baseline

The Family and Medical Leave Act is the closest thing the U.S. Has to a universal leave law, and it's the one most of the other types on this list interact with. FMLA gives eligible employees up to 12 weeks of unpaid, job-protected leave per year for your own serious health condition, a new child, or to care for a spouse, child, or parent, and up to 26 weeks to care for a covered service member. To qualify, you need 12 months with your employer, 1,250 hours worked in the past year, and an employer with 50+ employees within 75 miles.

FMLA has been federal law since August 1993, and it doesn't pay you a dime on its own, it just protects your job while you're out. That's why people stack it with paid programs like state PFL or short-term disability. For the full eligibility test and how to apply, see our FMLA guide, or check the official DOL FMLA page for the source rules.

State Paid Family Leave (PFL)

FMLA protects your job but not your paycheck, state paid family leave programs fill that gap. Thirteen states plus D.C. Currently run their own paid family leave programs, funded through payroll deductions, that pay you a percentage of your wages (typically 60-90%) for 8-12 weeks while you bond with a new child or care for a sick family member. These programs run alongside FMLA, not instead of it, so you often use both at the same time.

Whether you have access to PFL (and how much it pays) depends entirely on which state you work in. See our paid family leave guide for how the programs work, check your state's specific rules to see if you're covered, or browse NCSL's state-by-state paid family leave roundup for the legislative side.

Maternity, Paternity & Parental Leave

"Maternity leave," "paternity leave," and "parental leave" aren't single legal terms, they're bundles of whatever FMLA, your state's PFL program, short-term disability, and your employer's own policy add up to. There's no federal law guaranteeing paid time off for a new child; what you actually get depends on where you live and who you work for.

Maternity leave typically combines job-protected FMLA time with paid short-term disability (for physical recovery) and, in PFL states, paid bonding time. See our maternity leave guide for how those pieces fit together.

Paternity leave is usually unpaid FMLA time unless your state offers PFL or your employer has its own paid parental leave policy, fathers and non-birthing parents don't get the disability-leave portion that birth parents do. Our paternity leave guide breaks down what's actually available.

Parental and bonding leave is the broader term covering adoptive and foster parents too, not just biological ones. Read our guide to parental leave for how bonding leave works across FMLA, state programs, and employer policies.

Bereavement Leave

There's no federal law requiring bereavement leave. FMLA doesn't cover grief on its own, unless the loss triggers a serious health condition of your own, like a major depressive episode that a doctor certifies. A handful of states, including California, Illinois, Oregon, and Washington, now require some paid or job-protected bereavement leave, but everywhere else it's entirely up to your employer's handbook.

That makes bereavement one of the least consistent types of leave on this list, the difference between three days and two weeks often comes down to a single line in your employee handbook. See our bereavement leave guide for what's legally required where you live and how to ask for more if the policy falls short.

Sick Leave & Medical Leave of Absence

Sick leave and medical leave of absence sound similar but work differently. Sick leave usually means short, paid absences for minor illness or doctor visits, and a growing number of states and cities now require employers to offer it by law. A medical leave of absence is longer (weeks or months off for a serious health condition) and it's job-protected only if FMLA or the ADA applies to your situation.

If you're dealing with something short-term, our paid sick leave guide covers what's legally required. If you need extended time off for a health condition, our medical leave of absence guide walks through how it connects to FMLA, disability pay, and your job protections.

Personal Leave of Absence

A personal leave of absence is time off that doesn't fit any legal category, it's not medical, not family-related, not military. Think: an extended trip, a family obligation that doesn't qualify for FMLA, or just needing a break. No law requires employers to offer it, and no law protects your job while you're on it. It's purely a matter of company policy, which means the rules vary enormously from one employer to the next.

Because personal leave sits outside FMLA's protections, it's worth understanding exactly what you're agreeing to before you take it. Our personal leave of absence guide covers how to request it and what happens to your job and benefits while you're out. For a broader look at how leave-of-absence policies work in general, see our leave of absence guide.

PTO and Vacation

Paid time off and vacation are the most familiar type of leave, and also the one with the least legal backing, federal law doesn't require employers to offer any paid vacation at all. What you get is set entirely by your employer's policy: how much you accrue, whether it rolls over, and whether you're paid out for unused days when you leave depends on your company and, in some states, on state law governing accrued wages.

PTO isn't job-protected leave in the legal sense, it's a benefit, not a right, which matters if you're trying to combine it with FMLA or state leave programs. See our complete guide to PTO for how accrual, rollover, and payout rules typically work.

Military Leave (USERRA)

The Uniformed Services Employment and Reemployment Rights Act protects the jobs of employees who leave work for military service, training, or deployment, and it applies to virtually every employer, regardless of size, which is broader than FMLA's 50-employee threshold. USERRA doesn't require your employer to pay you while you're away, but it does guarantee you can return to your job, or a comparable one, with the same seniority and benefits you'd have earned if you'd never left.

Military leave rules are more absolute than almost any other type on this list, there's no minimum tenure requirement like FMLA's 12-month test. See our military leave guide for how reemployment rights work, or the official USERRA page from the Department of Labor for the statute itself.

Short-Term Disability: The Type That Pays You

Short-term disability isn't a legal category of leave so much as an insurance product, but it deserves a mention because it's how most people actually get paid during medical, maternity, or serious-illness leave. STD insurance (through your employer, a state program, or a private policy) replaces a portion of your wages while you're medically unable to work, typically for 6 to 26 weeks depending on the policy or state.

STD doesn't protect your job on its own; it only pays you. That's why it's almost always paired with FMLA or state PFL, which handle the job protection while STD covers the paycheck. See our short-term disability guide for how it stacks with other types of leave.

How to Figure Out Which Type of Leave Applies to You

Start with the reason you need time off, not the label. If it's your own serious health condition or a new child, check FMLA eligibility first, it's the type most other leave stacks on top of. If you're in one of the 13 PFL states, check whether your reason for leave (bonding, caregiving, your own illness) is covered, since that's where the actual paycheck comes from. If none of the legal categories fit, you just need time away, you're looking at personal leave or PTO, both of which live entirely in your employer's handbook, not in the law.

The biggest mistake people make is assuming one type of leave covers everything. In reality, most real-world leaves are a stack: FMLA for the job protection, PFL or STD for the paycheck, and PTO to fill any remaining gap. Read the specific guide for your situation above before you request anything from HR, knowing which type you're asking for changes how the conversation goes.

Frequently Asked Questions

What are the main types of leave from work?

The main types are FMLA (unpaid, job-protected), state paid family leave, maternity/paternity/parental leave, bereavement leave, sick leave, medical leave of absence, personal leave of absence, PTO/vacation, military leave (USERRA), and short-term disability. Each has different rules for pay, job protection, and who qualifies.

Which types of leave are paid?

State paid family leave, short-term disability, PTO/vacation, and sick leave (where required by state or local law) are typically paid. FMLA, military leave, and personal leave of absence are unpaid on their own, though you can often use paid leave like PTO or STD to cover the same time off.

Which types of leave are job-protected by law?

FMLA and USERRA (military leave) are the two types with strong federal job protection. State paid family leave adds job protection in some states when it runs alongside FMLA or a similar state law. PTO, sick leave, bereavement leave, and personal leave of absence usually aren't legally job-protected, that depends on your employer's policy.

Can I use more than one type of leave at the same time?

Yes, and most people do. A common stack is FMLA (for job protection) plus state paid family leave or short-term disability (for pay) plus PTO (to cover a waiting period or extend the paid portion). Your HR department can tell you how your specific leaves run, concurrently or back-to-back.

What's the difference between FMLA and paid family leave?

FMLA is a federal law that protects your job for up to 12 weeks but doesn't pay you. State paid family leave is a separate, state-run program that pays you a percentage of your wages for a similar reason, bonding with a child or caring for a sick family member. They often run at the same time, but FMLA exists in every state while PFL only exists in 13 of them plus D.C.

Does every employer have to offer these types of leave?

No. FMLA only applies to employers with 50 or more employees within 75 miles, and only to employees who've worked there 12 months and 1,250 hours. USERRA applies to almost all employers regardless of size. PTO, sick leave (outside states/cities with paid sick leave laws), bereavement, and personal leave are set entirely by employer policy, so smaller employers may not offer them at all.

Is medical leave of absence the same as FMLA?

Not exactly. FMLA is a specific federal law with its own eligibility rules. "Medical leave of absence" is a broader term for any extended time off for a health condition, it might be covered by FMLA, the ADA, a state law, or purely by your employer's policy, depending on your situation and where you work.

What type of leave covers pregnancy?

Pregnancy leave usually combines three things: short-term disability (paid, covers physical recovery from childbirth), FMLA (unpaid, protects your job for up to 12 weeks), and, in PFL states, paid bonding leave once you've recovered. Some states also have separate pregnancy disability leave laws that add extra protected time.

Do I get paid during bereavement leave?

It depends entirely on your state and employer. There's no federal bereavement leave law, but a few states now require some paid bereavement leave. Outside of those states, whether you're paid during bereavement leave is purely up to your employer's policy, many companies offer a few paid days, but nothing legally requires it.

What's the difference between sick leave and a medical leave of absence?

Sick leave is short, a day or a few days for a minor illness or medical appointment, and a growing number of states and cities require employers to provide it. A medical leave of absence is longer, covering weeks or months for a serious health condition, and it draws on different protections, usually FMLA or the ADA, rather than local sick leave laws.

Can my employer deny a personal leave of absence?

Yes. Because personal leave of absence isn't required by federal or state law in most cases, your employer can deny the request, approve it without pay, or set whatever conditions it wants, unlike FMLA, USERRA, or state PFL, which come with legal entitlements your employer can't simply refuse.

How do I know which type of leave I should apply for?

Match the type of leave to your actual reason for being out. A new child or serious illness usually starts with FMLA. Needing pay during that time points you to state PFL or short-term disability if you have access to either. A death in the family points to bereavement leave. Anything else (a personal need with no legal category) falls under personal leave or your PTO balance.

Key Takeaways

  • There's no single "leave law", at least eight distinct types of leave exist, each with different rules on pay, job protection, and eligibility.

  • FMLA is the foundation most other leave types stack on top of: unpaid, but job-protected, for up to 12 weeks.

  • State paid family leave is where the paycheck comes from, but only in 13 states plus D.C.

  • PTO, sick leave, bereavement, and personal leave are mostly employer policy, not legal rights, so they vary widely by company.

  • Most real leaves are a stack of two or three types, start with the reason for your leave, then check the linked guide above for the type that matches.

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UF

US Family Leave Guide Editorial Team

We research and fact-check every guide against primary sources: the U.S. Department of Labor, state labor agencies, and each state paid-leave program's own published rules. Articles are updated whenever a law, benefit amount, or filing deadline changes.