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Leave of Absence
Form Description
Leave of Absence Process
Leave of Absence Process - FANS
Summary of Leave of Absence Process
Leave Request Form
Leave Request Form - FANS
Form used to request a Leave of Absence. Complete and submit to your supervisor
Certification of Health Care Provider - Employee Employee Illness
Use this form to document intermittent or longer illness (i.e. planned surgery, maternity, etc). This form needs to be completed by your physician and returned with Leave Request Form
Certification of Health Care - Family Member Family Member
Use this form to document intermittent or longer illness (i.e. planned surgery, maternity, etc) for a family member. This form needs to be completed by the physician.
FMLA Military Certification of qualifying Exigency for Military Family Leave
FMLA Injury Illness Military Certification for serious injury or illness of covered Service member for Military Family Leave
Return to Work Form
Return to Work Form - FANS
Complete this form and present to your supervisor with documentation from your physician that you are released to return to work (see leave process for details).
Leave FAQ Leave Frequently Asked Questions