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| Family Medical Leave Forms (FMLA) |
| Certification
of Health Care Provider - to be completed by health care
provider, signed by employee and returned to supervisor.
Request for Family or Medical Leave - to be completed by employee and returned to supervisor. Certification of Fitness for Duty - to be completed by health care provider and returned to supervisor upon return to work. Time Log - to be maintained by department timekeeper. |
Copyright 2004-Present
Annual Security Report: UTHSC-H's Annual Security Report is available electronically at |