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FMLA & SPF Absences

FMLA/SPF Absence is a paid or unpaid absence from work with benefits due to the serious health condition of an employee, the serious health condition of a qualifying family member when the employee is attending to the medical needs of the family member, or for the birth, adoption or foster care placement of a child.

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Certifications

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. 

NotiCES

The following are notices that explain your rights and entitlements to FMLA.

Requests

Completed by the employee to request an FMLA/SPF Absence.  The completed request form is submitted to the agency FMLA/SPF Coordinator.    

Additional resources

CONTACT US

OA-HR Service Center, Absence Services is available to assist with FMLA/SPF program questions and can be contacted at ra-spfabsence@pa.gov or 717.346.4667.