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   Division of Human Resources



1313  Sherman St., 1st Floor
Denver, CO 80203
Phone: 303-866-2323
Fax: 303-866-2021

 

 

Leave Forms

These documents may be presented in PDF format, which requires the Adobe® Reader.

Leave/Absence Request – PDF

Fitness to Return to Work – PDF
Fitness to Return to Work - Word

Medical Certification – PDF
Medical Certification – Word

Employer Individual Notice – PDF
Employer Individual Notice – Word

Employer Individual Notice (Spanish)- PDF
Employer Individual Notice (Spanish) - Word

Victim Leave Affidavit - PDF
Victim Leave Affidavit - Word


Email comments to:  DHR Staff

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