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FMLA Forms

FMLA Request Form FMLA HR1 (must be accompanied by a P-33A or P-33B below)

FMLA P-33A (for own illness)

FMLA P-33B (for family member/caregiver)

FMLA Return to Work Form FMLA HR3 (this is to be submitted prior to beginning a block of time absence, this is not the "Fitness For Duty" form which is the last page of the FMLA P-33A and may be requested upon completing a leave of absence).

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