FMLA

Family Medical Leave Act (FMLA)

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 request form for FMLA, please retain a copy for your records and turn into Gloria Powers at gpowers@swcccase.org in Human Resources. You may wish to include your Supervisor on the request, as well.  

FMLA Policy

FMLA Procedures *Updated 2023

Employee Request for Family or Medical Leave 

Certification of Serious Health Condition Form (WH 381-E)

Certification of Serious Health Condition Family Member (WH 381-F)