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Human Resources
Family Medical Leave Act
Family Medical Leave Act
Employee FMLA Request Form (fillable PDF)
Federal FMLA Poster (PDF)
Intent to Return to Work (PDF)
Town of Darien Family and Medical Leave Policy, February 24, 2020 (PDF)
WH-380-E Certification of Health Care Provider for Employee's Serious Health Condition (PDF)
WH-380-F Certification of Health Care Provider for Family Member's Serious Health Condition (PDF)
WH-384 Certification of Qualifying Exigency for Military Family Leave (PDF)
WH-385 Certification for Serious Injury or Illness of Current Servicemember for Military Family Leave (PDF)
WH-385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave (PDF)
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