Model Forms- Family Medical Leave

• Notice of Eligibility and Rights and Responsibilities - Updated 09/2020
• Employee Request for Family Medical Leave - Updated 09/2020
• Designation Notice - Updated 09/2020
• Supervisor And Payroll Notification Memo
• Family Medical Leave Checklist & Contacts Log
• Return to Work Certification

Certification Forms (U.S. Department of Labor- Expire 06/30/2023 unless otherwise noted)

• Employee's Own Serious Health Condition
  
• Employee's Family Member's Health Condition
  
• Qualifying Exigency for Military Family Leave
  
• Serious Illness or Injury of Current Service Member for Military Family
  
• Serious Illness or Injury of Veteran for Military Caregiver Leave - expires 08/31/2021
• Notice of Eligibility and Rights and Responsibilities - USDOL
• Designation Notice - USDOL