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Family and Medical Leave Forms

Article
Read time: 6 minutes

Where can I find forms for FMLA (Family and Medical Leave)?


Here are the forms that are relevant to FMLA:


  • Form FMLA-H1R - Employee Request for Medical Leave, Family Leave, or Military Family Leave (PDF)
  • Form FMLA-H2RC - For Medical Leave, Family Leave, or Military Leave (PDF)
  • Form FMLA-HR3 - Intent to Return to Work from a Family and Medical Entitlement (PDF)
  • Form FMLA-HR4 - Statement of Qualifying Family Relationship for Family Leave or Military Family Leave (PDF)
  • Form FMLA P-33A - Caregiver Medical Certification Form (PDF)
  • Form FMLA WH-384 - Certification for Military Family Leave for Qualifying Exigency under the FMLA (PDF)
  • Form FMLA WH-385 - Certification for Serious Injury or Illness of a Current Service member for Military Caregiver Leave under the FMLA (PDF)

HR Policies and General Letters Forms and Sheets Policies and General Letters Family and Medical Leave

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