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STANDARD LEAVE FORMS:
| DOP-L1 |
Leave with Pay |
| DOP-L2 |
Leave of Absence without Pay |
| DOP-L3 |
Physician’s/Practitioner’s Statement |
| DOP-L4 |
Federal Family and Medical Leave Act (FMLA); State Parental Leave Act (PLA); Medical Leave of Absence without Pay |
| DOP-L5 |
Federal Family and Medical Leave Act (FMLA) and/or Medical Leave of Absence without Pay - Supplemental Certification for Employee’s Serious Health Condition |
| DOP-L6 |
Federal Family and Medical Leave Act (FMLA) and/or State Parental Leave Act (PLA) - Supplemental Certification for Family Member’s Serious Health Condition |
| DOP-L7 |
Federal Family and Medical Leave Act (FMLA) - Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave |
| DOP-L7V |
Federal Family and Medical Leave Act (FMLA) - Certificate for Serious Injury or Illness of Covered Veteran for Military Family Leave |
| DOP-L8 |
Federal Family and Medical Leave Act (FMLA) - Certification for Qualifying Exigency for Military Family Leave |
| DOP-L9 |
Federal Family and Medical Leave Act (FMLA) and/or State Parental Leave Act (PLA) - Notice of Eligibility and Rights and Responsibilities |
| DOP-L10 |
Federal Family and Medical Leave Act (FMLA) and/or State Parental Leave Act (PLA) - Designation Notice |
| DOP-L11 |
Application for Organ Donation/Testing Leave with Pay |
| DOP-L12 |
Physician’s/Practitioner’s Statement for Organ Donation/Pre-Operative Testing |
FORMS FOR USE WITH THE LEAVE DONATION PROGRAM: