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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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.
The following are notices that explain your rights and entitlements to FMLA.
Completed by the employee to request an FMLA/SPF Absence. The completed request form is submitted to the agency FMLA/SPF Coordinator.
OA-HR Service Center, Absence Services is available to assist with FMLA/SPF program questions and can be contacted at firstname.lastname@example.org 717.346.4667.