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| Title | Description | Category |
|---|---|---|
| State Employee Leave of Absence Request Form (for Personal Leave and "Title F" Leave only)
|
State employees can use this form to request a leave of absence - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| State/Research Foundation Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave
|
State/Research Foundation Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| State/Research Foundation Certification of Qualifying Exigency For Military Family Leave
|
State/Research FMLA State Certification of Qualifying Exigency For Military Family Leave - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| State/Research Foundation Employee Certification of Health Care Provider for Employee's Serious Health Condition
|
State/Research Foundation Employee Certification of Health Care Provider for Employee's Serious Health Condition - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |
| State/Research Foundation Employee Certification of Health Care Provider for Family Member's Serious Health Condition
|
State/Research employees can use this form to request a leave due to serious illness of a family member - can be used for both FMLA and Non-FMLA leaves. | Leave of Absence/Disability Leave (including FMLA Leave) |