• Request for Military Family Leave Form
  • Click to view form (pdf or doc) »
  • Request for Family and Medical Leave - Serious injury or illness of current servicemember for Military Family Leave
  • Revision date: 07/23/2013
  • Submit paper form to (UK HealthCare employees) 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.