HR Operations

FMLA forms

Requesting FMLA? Learn more by reviewing the FMLA Information Summary (PDF)

 

Please select and complete FMLA healthcare provider certification forms:

Parental/Maternity Leave for Birth Mother – FMLA (campus) (MS Word)
Parental Leave for Parent other than Birth Mother – FMLA (campus) (MS Word)
FMLA (campus) Personal Serious Health Condition (MS Word)
FMLA (campus) Family Member’s Serious Health Condition (PDF)
FMLA (campus) Serious Injury or Illness of Military Family Member (MS Word)
FMLA (campus) Military Family Qualifying Exigency (MS Word)