Employees must provide satisfactory medical certification with a request for FMLA leave. A “certification of health care provider” form must be completed and submitted with the employee’s application ...

Instructions: Complete this from and click submit. The form will be forwarded to the Human Resources Office. Certification (s) of medical need for leave, adoption/fostering certification, active duty ...

A serious health condition* that makes the employee unable to perform the functions of his or her job. *Serious health condition entitling an employee to leave means an illness, injury, impairment or ...

There are 3 pieces of documentation that need to be provided to the Counseling Center for an MLOA based on mental health issues: the Counseling Center Request for Medical Leave of Absence form; the ...

The Medical Leave of Absence Form must be completed and given to Student Health Service in order for your leave to be reviewed and accepted. If you have been a patient at SHS for the diagnosis which ...

To care for immediate family members (spouse, sponsored adult dependent, child, child of a sponsored adult dependent or parent) with a serious health condition. Employees eligible for FMLA benefits ...