Family and Medical Leave Request – Employee’s who are requesting leave must complete this form and give to his or her supervisor for their signature and return to Human Resources.
Certification of Health Care Provider Form
Employee – must be completed by the employee’s physician and review his/her job description for an employee’s own serious health condition
Family Member - must be completed by family members physician
Release to Return to Work Form – must be completed by employee’s physician and review job description prior to returning to work.