Complete the following forms

Employee Request for Leave
- to request leave of absence under the Family Medical Leave Act

Employee Release of Medical Information - Required


Department of Labor - Family Medical Leave - physician form

Department of Labor sites:

http://www.dol.gov/esa/whd/fmla/ General Information

http://www.dol.gov/elaws/esa/fmla/faq.asp Frequently Asked Questions and Answers

http://www.dol.gov/esa/regs/compliance/whd/whdfs28.htm Fact Sheet

University sick leave in accordance with University policies:

3359-11-01 Sick Leave for Faculty, Contract Professional, Classified and Unclassified exempt staff interim rule

3359-26-04 (Non-Exempt Staff) Absence from Campus Interim Rule