How Do I Request an FMLA Leave?

  1. Complete the CS-1838 Application for Leave of Absence
  2. Download and have physician complete CS-1837 Medical Certification of Employee's Serious Health Condition.
  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.

Related Documents
CS-1839 Family Member's Serious Heath Condition