The following certifications are to be completed by the health care provider only. NOTE: Please consult with your agency FMLA/SPF Coordinator to determine eligibility before printing the forms.
- Employee Serious Health Condition Certification (FMLA)
- Family Member Serious Health Condition Certification (FMLA)
- Adult Child Certification of Disability (FMLA)
- Serious Injury or Illness of a Current Service Member Certification
- Serious Injury or Illness of a Veteran Certification
- Military Exigency Certification
The following are notices that explain your rights and entitlements to FMLA.
Completed by the employee to request an FMLA/SPF Absence. The completed request form is submitted to the agency FMLA/SPF Coordinator.
- Agency FMLA Specialist Contact List
- FMLA/SPF checklist for supervisors
- FMLA Frequently Asked Questions
- Notice regarding health benefits while on leave without pay
- MD 530.30 Sick, Parental and Family Care Absence, Military Exigency Absence and Military Caregiver Absence: establishes policy and procedures for the application of sick, parental and family care (SPF) absences, military exigency absence and military caregiver absence under the Family and Medical Leave Act of 1993 (FMLA).
- FMLA Poster: a notice explaining the provisions of the FMLA.
- Absence Management Training for supervisors, both web-based and classroom, can be found through LSO.