FMLA Family and Medical Leave

Breadcrumbs

EMPLOYEE FORMS
Employee Notice of Family and Medical Leave

To notify management of your anticipated date of FMLA leave
Health Care Provider Certification for Employee's Serious Health Condition

ONLY for Units 1, 2, 3, 4, 5, 6, 8, 9, 10 and Managers and Confidentials
Health Care Provider Certification for Employee's Eligible Family Member's Serious Health Condition

ONLY for Units 1, 2, 3, 4, 5, 6, 8, 9, 10 and Managers and Confidentials
FMLA Medical Certification

ONLY for Units 4A, 5A, and 7
Employee Notice of Intent to Return Form
Fitness for Duty Certification
EMPLOYER FORMS
Notice of Eligibility and Rights & Responsibilities

To inform if employee is eligible for leave under the FMLA
Employer Designation Notice to Employee

Expires: 12/31/2011
EDUCATIONAL RESOURCES
FMLA Poster

Employee Rights and Responsibilities Under FMLA
FMLA Employee Booklet

Simple two page summary of FMLA benefits
FMLA Fact Sheet for Employees
FMLA Guide for Supervisors
FMLA Guide for Employees

Last Updated: February 6, 2009

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