FMLA

Voluntary Shared Leave Donation Purpose: Use this form to make a donation to the Voluntary Shared Leave (VSL) program. Questions? Contact Benefits through HR Connect. Last Updated: August 14, 2024

FMLA Request (9 Month) Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 9 month employees. Questions? Contact Benefits through HR Connect. Last Updated: August 14, 2024

FMLA Request (12 Month) Purpose: Use this form to request authorization for extended leave under the Family Medical Leave Act (FMLA) – 12 month employees. Questions? Contact Benefits through HR Connect. Last Updated: January 30, 2025

Fitness for Duty Certification Purpose: Use this form to provide verification of ‘fitness for duty’ when an employee has received medical authorization to return to work (with or without work restrictions). Questions? Contact Benefits through HR Connect. Last Updated: August 14, 2024