1. FMLA forms for employers with 50 or more employees:

• Application for Family, Medical or Military Leave
• Notice of Eligibility & Rights of Responsibilities
• Eligibility and Designation Notice of FMLA Leave (Combined Form)
• FMLA Leave Poster
• Certification of Health Care Provider for Employee’s Serious Health Condition
• Certification of Health Care Provider for Family Member’s Serious Health Condition
• Certification of Qualifying Exigency
• Certification of Serious Injury or Illness of Covered Service Member—for Military Leave

2. Forms for employers with less than 50 employees:

• Application for Medical Leave
• Employer Response to Employee Request for Medical Leave
• Certificate of Health Care Provider

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