Request for Medical Leave
Request for Medical Leave - Employee:
If you require time off for a medical necessity, please follow the directions below:
- Log into TalentEd Records account by clicking here.
- Go to Blank Docs (upper right-hand corner)
- Click on the FMLA - Employee document
- Complete the form
- Be sure to print the FMLA Leave Certification of Health Care Provider form and take it to your doctor for completion. The completed form must be returned to the Human Resources office within 15 days of your request.
- Click on “Save Final”
- Type your name in the Signature line
- Check the box that says, “I have read and accept the Electronic Signature Statement”
- Click on “Submit”
Request for Medical Leave – Family Member:
If you require time off for a medical necessity, please follow the directions below:
- Log into TalentEd Records account by clicking here.
- Go to Blank Docs (upper right-hand corner)
- Click on the FMLA – Family Member document
- Complete the form
- Be sure to print the FMLA Leave Certification of Health Care Provider for Family Member form and take it to the family member’s doctor for completion. The completed form must be returned to the Human Resources office within 15 days of your request.
- Click on “Save Final”
- Type your name in the Signature line
- Check the box that says, “I have read and accept the Electronic Signature Statement”
- Click on “Submit”
Click here to return to the Business Services page.