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Home → Employee Relations → FMLA

FMLA Forms & Resources

Medical Certification Form for Employee's Serious Health Condition (WH-380E)

Certification of Health Care Provider for Family Members Serious Health Condition (WH-380-F)

Certification for Serious Injury or Illness of Covered Service Member for Military Family Leave (WH-385)

Certification of Qualifying Exigency for Military Family Leave (WH-384)

Notice of Eligibility and Rights & Responsibilities (WH-381)

Designation Notice (WH-382)

Department of Labor FMLA Information

FMLA Poster

Policies & Guidelines

HR05 - "Regular" and "Nonregular" University Employees

HR16 - Leave of Absence Without Salary (Other Than For Extended Active Military Service)

HR54 - Continuation of Group Insurance After Age 60, Age 65, and After Retirement or Death

HRG11 - FMLA

HRG05 - Use of "No-Pay" Days in Lieu of Short-Term Leave of Absence

HRG07 - Absence From Work Resulting From Pregnancy or Childbirth

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      The Pennsylvania State University
      James M. Elliott Building
      University Park, PA 16802
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