Family Medical Leave Act (FMLA)
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The following information is necessary when applying for a leave under the Family Medical Leave Act.
Please be sure to read all of the information available on the links below. Please print the information and retain a copy for your records.
Once you have completed the Letter to Request FMLA, please retain a copy for your records and return to Human Resources.
Employee Letter to Request FMLA
Employer Response to FMLA Request
Certification of Serious Health Condition Form