Family and Medical Leave Act Guide(Revised May/2010) - This booklet contains information on FMLA including a description of the program, definitions of terms, eligibility information, information on how the program works and what to do if you need to use Family and Medical Leave. This is a Microsoft Word document
Family and Medical Leave Notification Form - Form required to notify Employee Benefits Division not to cut off health benefits
New Forms
FMLA380 - Certification of Health Care Provider for Employee’s Serious Health Condition
FMLA380 - Certification of Health Care Provider for Family Member’s Serious Health Condition
FMLA381 - Notice of Eligibility and Rights and Responsibilities
FMLA382 - Designation Notice
FMLA384 - Certification of Qualifying Exigency For Military Family Leave
FMLA385 - Certification for Serious Injury or Illness of Current Service member for Military Family Leave
FMLA413 - Family and Medical Leave Return to Work
April, 2013