Family and Medical Leave
Administrative Regulation No.133 pertaining to City Policy on Family and Medical Leave Revised and Reissued Effective: June 19, 2022
Publication Date: 06/19/2022
Document Type: Laws Bills and Policies
Sponsor:
Department of Personnel,Employee Benefits
Summary
Administrative Regulation No.133 pertaining to City Policy on Family and Medical Leave Revised and Reissued Effective: June 19, 2022 and relating forms.
Download
- Family and Medical Leave Document (235.32 KB)
- AR133 Notice of Eligibility and Rights and Responsibilities (101.23 KB)
- AR 133 Request for Family/Medical Leave of Absence Form (83.53 KB)
- AR 133 Request for Family/Medical Leave of Absence on an Intermittent/Reduced Schedule Leave Basis (83.92 KB)
- AR 133 Certification of Health Care Provider for Employee (150.20 KB)
- AR 133 Certification of Health Care Provider for Family Member (144.82 KB)
- AR 133 Fitness for Duty Medical Certification (123.98 KB)
- AR 133 Report of Intermittent/Reduced Schedule Family/Medical Leave Taken (322.99 KB)
- AR 133 Request for Military Family/Medical Leave of Absence for Care of Servicemember (85.26 KB)
- AR 133 Request for Intermittent/Reduced Schedule Military Family/Medical Leave of Absence for Care of a Servicemember (85.22 KB)
- AR 133 Certification for Serious Injury or Illness of Covered Servicemember (151.76 KB)
- AR 133 Request for Military Family/Medical Leave of Absence for Active Duty Exigencies (90.72 KB)
- AR 133 Request for Intermittent/Reduced Schedule Military Family/Medical Leave of Absence for Active Duty Exigencies (91.18 KB)
- AR 133 Certification of Qualifying Exigency for Military Family Leave (83.41 KB)
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