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Employee Relations

Request for Family and Medical Leave

UK HealthCare employees should submit paper copies of the form to UK HealthCare FMLA administrator at whitney.cunningham@uky.edu or fax to (859) 257-2010.

Campus (non-UK HealthCare) employees may submit to their department supervisor or designee.

07/23/2013 (revision date)
Click to view form (pdf or doc): Request for Family and Medical Leave
Submission Options
Submit paper form to fax to (859) 257-2010
Email form back to whitney.cunningham@uky.edu