Forms
Family Medical Leave
- FML Form 1 Employee Request (PDF - 123kb) *
- FML Form 2 Cert of HC Provider - EE & Family (PDF - 133kb) *
- FML Form 3 Cert of HC Provider - Servicemember (PDF - 136kb) *
- FML Form 4 Cert for Military Family Leave (PDF - 128kb) *
Medical Release
- Consent to Release Family Member's Medical Information- FML (PDF - 47kb) *
- Consent to Release Medical Information (PDF - 47kb) *
- Consent to Release Personnel and Medical Information- FFD (PDF - 48kb) *
- Description of Employees Essential Job Functions (EF5) (PDF - 288kb) *
Reasonable Accommodations
- RA Form 1 Request for RA Applicant (PDF - 91kb) *
- RA Form 2 Request for RA Employee (PDF - 100kb) *
- RA Form 3 Release of Information Consent (PDF - 60kb) *
- RA Form 4 Work Status Report (PDF - 136kb) *
- RA Form 6 RA and Interactive Process Overview (PDF - 97kb) *
- RA Form 7 RA Declination Waiver (PDF - 97kb) *
- RA Form 8 Request for RA Assistance (PDF - 97kb) *
- RA Form 9 Countywide Job Search Referral (PDF - 97kb) *
Temporary Modified Work
- Temporary Modified Work Plan (PDF - 97kb) *