Leave Request Forms

Family & Medical Leave Request Form - Complete for any family or medical leave.  You and your supervisor will sign, then send to Human Resources. 

Certification of Health Care Provider Form - Employee

Certification of Health Care Provider Form - Family Member

Release to Return to Work Form (required before you can come back to work)

Access to Job Descriptions (which should be reviewed by your physician when completing any forms)

Covered Service Member Serious Illness

Qualified Exigency for Military Family Leave

Leave Donation Request Form

Kaiser Authorization to Disclose Health Information Form