Benefits
Medical Leave Form
| Type | ID | Label | Required(yes/no) | Options |
|---|---|---|---|---|
| text | name | Name | no | |
| text | no | |||
| text | idnumber | ID # | no | |
| text | typeofleave | Type of Leave(i.e., medical-self, family care, maternity,paternity) | no | |
| text | startdate | Tentative Leave Start Date | no | |
| text | leavedate | Tentative Leave End Date | no | |
| text | phone | Phone Number | no | |
| paragraph_text | questions | Questions and Comments: | no | |
| jaguilar@csufresno.edu | ||||
| Medical Leave - Juanita Aguilar | ||||
| http://www.fresnostate.edu/hr/benefits/leavesofabsence/thankyou.html | ||||
Medical Leaves of Absence
Leave Related Forms
FMLA
Certification of Health Care Provider for Employee
Certification of Health Care Provider for Family Member
Certification of Health Care Provider for Paternity
NDI
Catastrophic Leave