Benefits

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• FMLA Agency Response Eligibility Notice to Employee - FMLA-HR-2a

  Form to be completed by agency human resources department notifying employee of his/her eligibility in response to employee's request for family leave, medical leave or military family leave.

• FMLA Caregiver Medical Certificate P-33B

  Form to be used by employees seeking family leave to care for a spouse, child, or parent with a “serious health condition". Form must be completed by family member's attending medical provider.

• FMLA Employee Medical Certificate P-33A

  Form to be used by employee who is absent for personal illness, including FMLA absences; form must be completed by employee's attending medical provider.

• FMLA Employee Request Form - FMLA-HR-1

  Form to be completed by employee requesting family leave, medical leave or military family leave.

• FMLA Statement of Qualifying Family Relationship FMLA-HR4

  For Family Leave or Military Family Leave

• Holiday Observance 1998

• Holiday Observance 1999

• Holiday Observance 2000

• Holiday Observance 2001

• Holiday Observance 2002

• Holiday Observance 2003

• Holiday Observance 2004

• Holiday Observance 2005

• Holiday Observance 2006

• Holiday Observance 2007