Absences

• Faculty, Academic Staff, Limited Appointees Leave Report
• University Staff Accounting Correction Form
• Vacation Option Election Form

Family and Medical Leave Act (FMLA)

UW System Forms

• Employee Request for Family and/or Medical Leave (UWS 80)
• Notice of Eligibility and Rights & Responsibilities (UWS 81)
• Certification by Health Care Provider for Employee’s Serious Health Condition (UWS 82a) [WFMLA Only]
• Certification by Health Care Provider for Family Member’s Serious Health Condition (UWS 83a) [WFMLA Only]
• Designation Notice (UWS 86)

U.S. Department of Labor Forms

• Certification of Health Care Provider for Employee’s Serious Health Condition (DOL WH-380-E)
• Certification of Health Care Provider for Family Member’s Serious Health Condition (DOL WH-380-F)
• Certification for Military Family Leave for Qualifying Exigency (DOL WH-384)
• Certification for Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave (DOL WH-385)
• Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (DOL WH-385-V)

UW-Milwaukee Form

• Fitness-for-Duty Medical Certification to Return to Work from Family/Medical Leave or Absence