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UA Statewide Employee Forms (Leave)

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HR Employee Forms

Leave Forms:

Form Name Available Formats
(Icon Legend)
Form Descriptions
FML: Q & A's
Adobe PDF format file Questions and Answers Re: FML
FML Leave w/o Pay (FMLWOP), Sick Leave (LWOP) Form
Adobe PDF format file To arrange benefit payments while on LWOP.
FML Request Form Adobe PDF format file To request leave for a serious health condition (to be completed by employee).
FML Physician/Practitioner Cert of Health Care Form Adobe PDF format file To request leave for a serious health condition (to be completed by physician).
Leave Share Donation Form Adobe PDF format file To donate leave to leave share program participants (to be completed by employee donating leave).
Leave Share Transfer Request Form Adobe PDF format file To request leave donations from the leave share program (to be completed by employee receiving donated leave).

Mt. McKinley photo credit © Rex Melton, Alaska Division of Tourism; flower photo credit Nile Mueller; aurora photo credit Jan Curtis 2003
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