Saturday, September 4th, 2010
Wilkes-Barre Area Local 175
home
beehive
contact us
apwu links
other links
Main Menu
APWU Links
Other Links
FMLA
FMLA Forms
Beehive
Officers
Local 175 Bylaws
LMOUs
Contribute to Copa
JCAM
Contact Us
Local's T-Shirt
Photo Gallery
APWU FMLA Forms
These forms are in Adobe PDF files and will open in a new window.
You will need Adobe Acrobat Reader to access these forms.
You can download it
here
.
New Certification forms for FMLA
Certification by Employee's Health Care Provider for Employee's Own Serious Illness
Health Care Provider Certification of Employee's Family Member Serious Illness
New forms for Military FMLA.
Certification by Service Member's Health Care Provider for Caregiver Military Family Leave
Certification by Employee of Qualifying Exigency for Military Family Leave
Old forms.
Employee's Certification of own Serious Illness
Notice of Intermittent Leave or a Reduced Work Schedule
Desired or Needed Absences for Birth or Placement of Son or Daughter