Family and Medical Leave Act (FMLA) Application Form
*indicates a required field
As a TTUHSC employee, you are to apply for Family and Medical Leave Act (FMLA) Leave coverage for FMLA Leave qualifying conditions/events requiring your absence from work. 30 days advance notice is requested when applying for FMLA Leave. If 30 days advance notice is not possible, notice is to be provided as soon as practicable. Refer to HSC OP 70.32 Family and Medical Leave Act (FMLA Leave) for certification forms and additional information.