Campus Fountain in the Spring

FMLA Forms

Certification of Qualifying Exigency for Military Family Leave (Adobe PDF)

Certification for Serious Injury or Illness of Covered Service Member (Adobe PDF)

FMLA Definition of Serious Health Conditions (Adobe PDF)

FMLA Form 1 Leave Notice of Designation, Request, & Approval (Adobe PDF)

Essential and Marginal Job Functions Worksheet (Microsoft Word)

FMLA Form 2E Medical Certification for EMPLOYEE (Adobe PDF)

FMLA Form 2F Medical Certification for FAMILY (Adobe PDF)

FMLA Form 3 Intent to Return and Fitness for Duty/Medical Release (Adobe PDF)

Medical Recertification Request (Adobe PDF)

Attendance Tracking Sheet (Adobe PDF)