FMLA Certification Forms Pack

Our FMLA Certification Forms Pack combines the four FMLA forms employees may complete to authenticate their medical need for leave.

Each pack contains 50 each of the following FMLA Certification Forms:

FMLA Certification for Employee's Serious Health Condition
Updated March, 2009!

This form provides the employer with medical justification of the FMLA leave request (for the employee's serious health condition only).

FMLA Certification for Family Member's Serious Health Condition Form
Updated March, 2009!

This form provides the employer with medical justification of the FMLA leave request (for a family member's serious health condition only).

FMLA Certification for Serious Injury/Illness of Servicemember Form
Updated March, 2009!

This form provides the employer with medical justification of the FMLA leave request (only for an employee with family members in the military who are called to duty or are wounded).

FMLA Certification of Qualifying Exigency For Military Family Leave Form
Updated March, 2009!

This form provides the employer with medical justification of the FMLA leave request (only for an employee to support a request for leave for a covered service member with a serious injury or illness).

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