Leave Forms

Leave/Absence Request Updated 02/11

Fitness to Return to Work Updated 02/11

Victim Leave Affidavit


Family and Medical Leave Act Forms


GINA Safe Harbor Statements

Individual Updated 03/11
Family
 

Medical Certifications

Employee Updated 02/11

Employee - Spanish Updated 03/11

Employee's Family Member Updated 02/11

Qualifying Exigency

Serious Injury/Illness for a Covered Servicemember Updated 02/11

 

Notice

Designation

FMLA Rights Poster

FMLA Rights Poster - Spanish

Eligibility and Rights and Responsibilities

Eligibility and Rights and Responsibilities - Spanish 

 

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