Simsbury Board of Education Policy: 4260.5 Family and Medical Leaves of Absence

FMLA Forms:

• WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition
• WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition
• WH-384 Certification of Qualifying Exigency for Military Family Leave
• WH-385 Certification of Serious Injury or Illness of Covered Service Member for Military Family Leave
• Return to Work Release Form (Word doc)

 

For more information on the Family Medical Leave, please contact:

Cindi Freilinger
Human Resources Coordinator
(860) 651-3361
cfreilinger@simsburyschools.net