Leave of Absence Forms
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Description
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| Catastrophic Leave Donor Form |
use form to donate vacation time to fellow employees who have exhausted their leave options or to donate accrued vacation time to the catastrophic leave donation bank. |
| Catastrophic Leave Recipient Application Request Form |
use form to initiate the process |
| Declaration of Relationship |
This form is use to help ensure the relationship is FML eligible when employees are eligible for family medical leave |
| Intermittent Tracking Form |
employee use to track intermittent usage of FML |
| Leave of Absence Checklist |
For employee use to help through the leave of absence process |
| Leave of Absence Request Form |
employee use to request an leave of absence |
| Medical Certification for Employee |
employee requesting FML for themselves |
| Medical Certification for Employee's Pregnancy Disability |
employee requesting PDL due to pregnancy, childbirth, or related medical condition |
| Medical Certification for Family Member |
employee requesting FML to care for a family member |
| Return to Work Certification |
health care provider completes form allowing employee to return to work after FML |
