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FMLA Medical Leave Forms

 

  • Certification of Health Care Provider for an Employee's Serious Health Condition
  • Certification of Health Care Provider for a Family Member's Serious Health Condition
  • Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
  • Certification for Military Family Leave for Qualifying Exigency

Note - all FMLA forms above are provided on the U.S. Department of Labor FMLA website.

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Human Resources
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330 Whitmore Building
181 Presidents Drive
Amherst, MA 01003
United States

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