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Family and Medical Leave Act (FMLA) Information
(at www.nalc.org)

FMLA Forms

Form 1 - Notification of New Child in the Family
Form 2 - Employee’s Own Serious Health Condition where medical documentation is required
Form 3 - Employee’s Own Serious Health Condition where medical documentation is NOT required
Form 4 - Family Member’s Serious Health Condition (medical documentation is required)
Form 5 - Employee Notice of Need for Intermittent Leave or for a Reduced Work Schedule
NOTE: When Form 5 is used because of the employee’s or a family member’s serious health condition, then the appropriate Form 2, 3, or 4 must also be used.