Family Medical Leave ACT Forms

FMLA Request Forms

  1. FMLA Leave Request Form
  2. FMLA Insurance Disclosure Agreement 03.2023
  3. FMLA EMPLOYEE Certification of Health Care Provider EXP 06.2026
  4. FMLA FAMILY MEMBER Certification of Health Care Provider EXP 06.2026
  5. FMLA Employee Military Member
  6. FMLA Military Caregiver Leave
  7. Return to Work- Fitness for Duty Form Provider

FMLA Fact Sheets and FAQs

  1. FMLA Employee Guide
  2. FMLA Calculation of Leave
  3. FMLA Employee Protections Under FMLA
  4. FMLA Military Leave