Family Medical Leave Act
If you will miss work for an extended period due to either your own serious health condition or the serious health condition of an immediate family member, please print out the appropriate form below:
- If you will be out due to your own medical condition, please have your physician complete the Certification of Health Care Practitioner for Employee’s Serious Health Condition form
- If you will be out due to an immediate family member’s medical condition, please have their physician complete the Certification of Health Care Practitioner for Family Member
Please contact the Substitute Services Coordinator, Melinda Pon (916) 771-1600 ext. 50154 to have your absence entered into Absence Managment.
Completed forms should be submitted to the Personnel Department.