| |
Office
of Personnel Services & Benefits
Family and Medical Leave Information
and Forms
Family
and Medical Leave Act Guide - 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
FMLA410
- Request form for Family and Medical Leave
FMLA411
- Family and Medical Leave Certification of Health Care Provider
Form
FMLA412
- Response Form for Employee Request for Family and Medical Leave
FMLA413
- Family and Medical Leave Return to Work Form
March, 2008
|
|