Family Medical Leave Act 101

FMLA procedures, forms, and instructions

Forms you will need to administer FMLA leave are available for downloading below:

Certification of Health Care Provider

Family and Medical Leave Request
     *This form is viewable online, however it must be requested from Benefits.

Family and Medical Leave Premium Recovery Authorization
     *This form is viewable online, however it must be requested from Benefits.

Certification of Fitness for Duty
     *This form is viewable online, however it must be requested from Benefits.
     *Employees job description must be attached to this form. (Job Descriptions)

The Family Medical Leave Act Poster (English)

The Family Medical Leave Act Poster (Spanish)

Departments should follow proper notification and documentation procedures when administering leave under the FMLA. Eligible employees seeking to use FMLA leave may be required to provide additional information.

View a list of employer responsibilities.

View a list of employee responsibilities.

View a flowchart and instructions on administering FMLA leave.