| Form Name |
Available
Formats
(Icon Legend) |
Form Descriptions |
FML: Q & A's
|
 |
Questions and Answers Re: FML |
| FML: Certification of Health Care Provider for Employee's Serious Health Condition (off-site) |
|
To request leave for a serious health condition (to
be completed by physician). |
| FML: Certification of Health Care Provider for Family Member's Serious Health Condition (off-site) |
|
To request leave for a serious health condition (to
be completed by physician). |
| FML: Certification of Qualifying Exigency for Military Family Leave (off-site) |
|
To certify qualifying exigency. |
| FML: Certification for Serious Injury or Illness of Covered Servicemembers - for Military Family Leave (off-site) |
|
To certify serious injury or illness. |
FML: Leave w/o Pay (FMLWOP), Sick Leave (LWOP) Form
|
|
To arrange benefit payments while on LWOP. |
| FML:
Request Form |
|
To request leave for a serious health condition
(to be completed by employee). |
| Leave
Share Donation Form |
|
To donate leave to leave share program participants
(to be completed by employee donating leave). |
| Leave
Share Transfer Request Form |
|
To request leave donations from the leave
share program (to be completed by employee receiving donated leave). |
