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  • Complete and submit the Application for Leave of Absence (CS-1838) form online!

    NOTE: If you have already submitted a leave application or need to modify an existing leave, do not submit an additional online application.  Please contact the Disability Management Office at 877-766-6447, Option 2, for assistance.


    When do I need to apply for the Family Medical Leave Act (FMLA)?

    Apply for FMLA and provide medical documentation to DMO if:

    • You will be off work for five (5) or more days for a serious health condition for yourself, spouse, parent or child.
    • You will be off work intermittently or on a reduced schedule due to a serious health condition for yourself, spouse, parent or child.

    The Family Medical Leave Act (FMLA) offers job protection and continues benefits for those employees that apply. Find additional information on the FMLA page.