FMLA
Family Medical Leave Act

Frequently Asked Questions

• Sick Leave Medical
  Certification Form

• Leave Request Form
   

• Sick Leave Bank
  Withdrawal Application
  Exhibit A

• Sick Leave Bank
  Contribution Application
  Exhibit B

• Sick Leave Bank
  Discontinuation of Contribution
  Form Exhibit C

• Application for Sick Leave Bank
  Licensed Practitioner Statement

The Employee Referral Guide includes
all the forms needed to apply for Section 504/ADA.

For more information, please contact
Myra Ramirez at 698-1232 or myiramirez@bisd.us

• 504 Medical Request