Templates, Forms and Reports
- Absence Form for Flu-Like Illness (pdf)
- Essential and Marginal Job Function Form ( doc )
- Leave of Absence Transaction (web link)
Self Service web site: Administration tab, HR Transaction Systems, Forms, Leave of Absence. Places employee on one or more shifts of unpaid leave. - Leave Tracker (xls )
- Release to Return to Work Letter and Form ( doc )
- Request for non FMLA Medical Leave (Paid and/or Unpaid) Letter ( doc )
- Temporary Restricted Work Plan ( doc )
- Worker's Compensation Forms (web link)
- Merit Contract Covered Exhaustion of FMLA and Following Status Letter (doc)
- Merit Contract Covered Exhaustion of One Year Unpaid Medical Leave and Release to Work Form (doc)
- P&S, SEIU, and MSEC Exhaustion of FMLA and Following Status Letter (doc)
- P&S, SEIU, MSEC Exhaustion of Unpaid Medical Leave and Release to Work Form (doc)
Americans with Disabilities Act
- Department of Labor Federal Postings (pdf)
- Department of Labor FMLA Forms
Self Health Certification Form (pdf)
Family Health Certification Form (pdf)
Notice of Eligibility and Rights & Responsibilities (pdf)
Designation Notice (pdf)
Certification of Qualifying Exigency for Military Family Leave (pdf)
Certification for Serious Injury or Illness of Covered Servicemember- Military Family Leave (pdf)
- Health Certification Review Checklist and Definitions (pdf)
- Release to Return to Work Letter and Form (doc)
- Adult Child Medical Questionnaire and Letter (doc)
Reports
- Online Absence Report (web link)
Self Service web site: Personal tab, Time Reporting. Employee request for absence/documentation of absence when prior approval is not possible. - FMLA Inquiry (web link)
Self Service web site: Administration tab, HR Inquiry, FMLA. FMLA Eligibility and use: identifies hours absent for specific period and number of hours used in calendar year. - Employee Vacation Sick - Reports by Department or Employee (web link)
Self Service web site: Administration tab, HR Reports, Vacation/Sick Reports. Mulitple reports regarding leave. - HR Transaction Report (web link)
Self Service web site: Administration tab, HR Reports, Leaves/Absence Reports. Identifies employees on unpaid leave of absence.