VCU Department of Human Resources

Request forms

Family and medical leave act (FMLA) 

• The family and medical leave act (FMLA): What faculty and staff need to know - fact sheet and request for FMLA
• Notice of FMLA eligibility
• FMLA designation notice   

Certification of health care provider

• For employee’s serious health condition 
• For family member’s serious health condition 

Military family leave

• Certification of qualifying exigency 
• Certification of serious injury or illness of covered service member