The purpose of this form is to provide the employee and employer with information about the employee's work restrictions (if any) upon returning to work.

 This fact sheet provides general information about which employers are covered by the FMLA, when employees are eligible and entitled to take FMLA leave, and what rules apply when employees take FMLA leave.

Use this form to have your health care provider establish a patient or family member's medical condition that requires FMLA-protected Leave

Use this form to provide sufficient medical certification to support a request for FMLA leave to care for a covered family member with a serious health condition.

Use this form to provide sufficient certification to support a request for FMLA leave due to a serious injury or illness of a servicemember.

Use this form for eligible employees who have a "Qualifying Exigency" arising out of the foreign depolyment of the employee's spouse, son, daughter or parent.

Use this form to apply for a Sabbatical Leave