University fmla form certification 2026

1. Click ‘Get Form’ to open the university FMLA form certification in the editor.
2. Begin with SECTION 1, where you will enter your personal details such as Name, University ID, Email Address, and Phone Number. Ensure all information is typed or printed legibly.
3. Indicate your regular work hours and schedule by filling in the days of the week and times. This section helps clarify your availability.
4. In this section, authorize or deny permission for your health care provider to share necessary information regarding your FMLA leave request. Your signature and date are required here.
5. Move to SECTION 2, which is for departmental use. Confirm if an Intent to Return and Fitness for Duty/Medical Release is needed before returning to work.
6. Finally, SECTION 3 must be completed by your health care provider. They will provide medical facts about your condition and specify the amount of leave needed.

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