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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

Family Medical Leave Act (FMLA) forms are required to be completed. Once accrued sick leave has been exhausted, faculty enrolled in the Short-Term Disability program through insurance may go on ...

You must contact your academic dean's office regarding the medical leave of absence and reinstatement processes for your program. Students in the Counseling@Northwestern (online Counseling) master’s ...