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Employee Relations

Request for Military Family Leave Form

Request for Family and Medical Leave - Serious injury or illness of current servicemember for Military Family Leave

07/23/2013 (revision date)
Click to view form (pdf or doc): Request for Military Family Leave Form
Submission Options
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.