Department of Human Resources

EMPLOYEE MEDICAL FMLA LEAVE

GUIDELINES FOR EMPLOYEE:

1. Promptly complete the Release of Employee Information form, sign the Certification of Health Care Provider form and provide them to your Health Care Provider for completion.

2. The employee must have the Certification of Health Care Provider completed by the health care provider and both forms are to be returned to UMD Department of Human Resources who reviews the FMLA certification for completeness and appropriateness under the rules. All medical forms and information are retained in a separate, confidential file.