General Information

• Department of Labor COVID-19 FMLA Changes
• Vermont Parental, Family Leave & Short-Term Family Leave

Request Forms

• FMLA Request Form

Certification Forms

• Employee’s Health Condition Certification Form
• Family Member’s Health Condition Certification Form
• Certification of Qualifying Exigency for Military Family Leave
• Certification for Serious Injury or Illness of a Current Service Member (for Military Family Leave)
• Certification for Serious Injury or Illness of a Veteran (for Military Caregiver Leave)