Disability and Leave Forms and Letter Templates

Contact FSDS for the Following

  • Adult Child FMLA Eligibility Form
  • Confirmation of FMLA Intermittent Absence Exceeding Approval
  • Disability Accommodation Review Form: Employment
  • FMLA Pattern Evaluation Form
  • Guidance for Completing: FMLA Designation Notice
  • Guidance for Completing: FMLA Eligibility Notice
  • Health Certification Checklist
  • IDAD - Interactive Disability Accommodation Document
  • MIRF - Medical Information Request Form
  • Non-FMLA Continuous Medical Leave Request Form
  • Release of Information Form
  • Release to Work Form
  • Temporary Restricted Work Plan