FORMS

Forms & Documents

1. Accommodations - Doctor Form

2. Arrest & Conviction Report - PDE 6004

3. Benefits During Leave Form

4. Certified Health Care Provider Form for Employee's Serious Health Condition Form

5. Certified Health Care Provider for Family Member's Serious Health Condition Form

6. Certification of Qualifying Exigency for Military Family Leave

7. Disability Use During Leave Form

8. FMLA Employee Extended Leave Application (PEA)  FAQS - PEA

9. FMLA Employee Extended Leave Application (Non-PEA) FAQs - Non-PEA

10. Kronos & ESS Attendance Information

11. MADISON - Employee Claim Form

12. MADISON - Doctor's Claim Form

13. Personal Leave Payout

14. Sabbatical Information 

15. Vacation Payout to TSA Form 

16. 2023-2024 Workers' Compensation Reporting Packet 

17. Worker's Compensation Supervisor's Incident Report