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Contact Us
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Phone: 419.530.4747
Fax: 419.530.1490
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Family Medical Leave Act Request Forms
*Effective Immediately*
Do not fax to HR or deliver a copy faxed to you, they will not be accepted.
Only the original completed certification will be accepted in HR.
Watch for the determination of your request on your official UT email address.
Steps to Filing for FMLA
Employee FMLA Application and Certification
Family Member FMLA Application and Certification
Military Family Leave Forms
Certification of Qualifying Exigency (WH-384)
Certification for Serious Injury or Illness of Covered Servicemember (WH-385)
