Family Medical Leave ACT Forms

FMLA Request Forms

  1. FMLA Employee Leave Request Form
  2. FMLA Insurance Disclosure Agreement
  3. Return to Work- Fitness for Duty Form ~ Medical Provider
  4. FMLA Leave Employee - Provider Medical Certification
  5. FMLA Leave - Employee's FAMILY MEMBER Medical Certification Form
  6. FMLA Employee Military Member
  7. FMLA Military Caregiver Leave
  8. FMLA Insurance Disclosure Agreement
  9. FMLA Employee Leave Request Form
  10. FMLA Employee Leave Request Form

FMLA Fact Sheets and FAQs

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