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Family and Medical Leave Process

FMLA Personnel Policy

Read prior to completing the FMLA forms.

Family and Medical Leave Act (FMLA) Request Form

Please submit the completed FMLA Request Form and supporting documentation for eligible circumstance to Human Resources for verification and approval.

Birth or Placement of Child
Employee Serious Health Condition
Family Member Serious Health Condition
Serious Injury or Illness of Covered Service Member for Military Family Leave
Qualifying Exigency for Military Family Leave


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