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Category: Family and Medical Leave Act (FMLA) Forms

FMLA Certification Form for Qualifying Exigency for Military Leave

The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA leave due to a qualifying exigency to submit a certification.  Please work closely with your local Human Resource Office Specialist. Certification of Qualifying Exigency for Military

FMLA Certification Form for a Family Member

The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA protections because of a need for leave to care for a covered family member with a serious health condition to submit a medical certification issued by the health care provider of the covered family member.  Please work closely with your local Human Resource Office Specialist. Certification HCP_Family Member’s Serious Health Condition

FMLA Certification Form for Employees

The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA protections because of a need for leave due to a serious health condition to submit a medical certification issued by the employee’s health care provider.  Please work closely with your local Human Resource Office Specialist. Certification HCP_Employee

FMLA Certification – Serious Illness or Injury of Service Member

The Family and Medical Leave Act (FMLA) provides that an employer may require an employee seeking FMLA leave due to a serious injury or illness of a covered service member to submit a certification providing sufficient facts to support the request for leave.  Please work closely with your local Human Resource Office Specialist. Certification for Serious Injury or Illness of a Service Member Certification for Serious Injury or Illness of a Veteran

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