Family Medical Leave Act Forms (FMLA)
In general, to be eligible an employee must have worked for an employer for at least 12 months, and have worked at least 1,250 hours in the 12 months preceding the leave. This form is required by the University and provides employees with the information required by 29 C.F.R 825.300(b), which must be provided within five business days of the employee notifying the employer of the need for FMLA leave.
Form 2: Certification of Health Care Provider for Employee's Serious Health Condition
Michigan State University requires an employee seeking FMLA protections because of a need for leave due to a serious health condition to submit a medical certification issued by the employee's health care provider.
Form 3: Certification of Health Care Provider for Family Member's Serious Health Condition
Michigan State University requires an employee seeking FMLA protections because of a need for leave to care for a covered family member with a serious health condition to submit a medical certification issued by the health care provider of the covered family member.
Form 4: Certification of Qualifying Exigency for Military Family Leave
Michigan State University requires an employee seeking FMLA leave due to a qualifying exigency to submit a certification.
Michigan State University requires an employee seeking FMLA protections because of a need for leave to care for a covered servicemember with a serious health condition to submit a medical certification issued by the health care provider of the covered family member.
