Disability and Leave Forms and Letter Templates

Go to the corresponding section of this website for information related to leave and/or disability processes. Contact FSDS if information beyond the form content and/or letters is being requested.

Disability Forms


Leave Forms


Leave - Health Certification Forms


Return to Work Forms


Job Descriptions

Contact FSDS for the Following

  • Adult Child FMLA Eligibility Letter
  • Confirmation of FMLA Intermittent Absence Exceeding Approval Letter
  • Disability Accommodation Review Form: Employment
  • FMLA Pattern Evaluation Letter
  • FMLA Pattern Evaluation Form
  • MIRF Letter
  • Non-FMLA Continuous Medical Leave Request Letter
  • Release to Work Letter
  • Temporary Restricted Work Plan Letter