Human Resources Business Rules and Regulations
Page 7 of 18
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FMLA Employee Medical Certificate P-33A
Form to be used by employee who is absent for personal illness, including FMLA absences; form must be completed by employee's attending medical provider.
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FMLA Employee Request Form - FMLA-HR-1
Form to be completed by employee requesting family leave, medical leave or military family leave.
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FMLA Statement of Qualifying Family Relationship FMLA-HR4
For Family Leave or Military Family Leave
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Forms Approval Process - Comptroller Memorandum No. 2002-09 - March 28, 2002
Approval process for agencies to change forms to mirror Comptroller forms
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Grievance and Appeal to the Office of Labor Relations - PER-144
Form for union members to use when filing a grievance to the Office of Labor Relations
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The Appendix lists all state job classifications which have been designated as covered under the hazardous duty provisions of the State Employees Retirement System.