How Do I File a Medical Leave of Absence?

  1. Complete the CS-1838 Application for Leave of Absence.
  2. Download and have a physician complete the CS-1837 Medical Certification of Employee's Serious Health Condition form.
  3. Return the forms to the DMO via fax: 517-241-9926 or US mail: PO BOX 30002, Lansing, MI 48909.

Have more questions?
Contact the MCSC-Disability Management Office (DMO) at 877-766-6447.