Checklists

• Department Checklist
• Employee Checklist
• Benefits Checklist

Staff Leave Request

• Staff Leave Request Instructions
• Staff Leave Request Form

Letters and Notices

• Notice of Eligibility and Rights
• Declaration of Relationship
• Designation Notice
• Sample Letters Referenced in FML Guidelines

Note: All letters should be copied to Benefits

Certifications

• Certification of Health Care Provider for Employee's Serious Health Condition
• Certification of Health Care Provider for Family Member's Serious Health Condition
• Certification of Health Care Provider for Employee's Pregnancy Disability
• Certification of Qualifying Exigency for Military Family
• Certification of Health Care Provider for Military Caregiver Leave 
• Return to Work Certification Form

Miscellaneous

• Exempt Employee Workweek Agreement for FML Leaves (Taken On A Reduced Schedule or Intermittent Basis)
• FMLA Intermittent Leave Tracking Sheet