Your Right under the Family and Medical Leave Act of 1993 (please read)
Choose one form below based on your union
26M Leave of Absence Form - Workers' Compensation
26M Short Term Disability Form
Choose one form below for the physician to complete
FMLA EMPLOYEE'S SERIOUS HEALTH CONDITION
FMLA FAMILY MEMBER'S SERIOUS HEALTH CONDITION
If you would like to apply for a Leave of Absence you must complete one of the above Leave of Absence Forms and a Certification of Health Care Provider Form. Please send all request to the Human Resource Department.
If you have any questions please feel free to contact the following:
Debbie Payter
Administrative Assistant for Certified Personnel (TFT & Contracted Employees)
734-374-1200 EXT: 10114
Laura Southall
Administrative Assistant for Non Certified Personnel (26M), TPA, & TACSA
734-374-1200 EXT: 10116