What is FMLA?

Information for employees on the Family and Medical Leave Act.

Release to Return to Work - Staff

Form to be completed by employee's health care provider to return to full or modified duties following an extended sick leave.

Certification Form - Family Member Serious Health Condition

Serious Health Condition Certification form to be completed by a health care provider for a Family Member's serious health condition.

Certification Form - Employee Serious Health Condition

Serious Health Condition Certification form to be completed by a health care provider for an employee's serious health condition.

Employee Rights & Responsibilities Under FMLA

Employee rights and responsibilities under the Family and Medical Leave Act.

  • Human Resources Office
  • Sutton Hall, Room G8
    1011 South Drive
     Indiana, PA 15705
  • Phone: 724-357-2431
  • Fax: 724-357-2685
Office Hours
Monday through Friday
8:00 a.m.-4:30 p.m.