UK HealthCare employees should submit the form to the UK HealthCare FMLA administrator at whitney.cunningham@uky.edu or fax to 859-257-2010.
Campus (non-UK HealthCare) employees should submit the form to the Campus FMLA Administrator at lindseyhpowell@uky.edu or fax to 859-257-1679.
Revision date: 11/03/2017
Submit paper form to UK HealthCare fax to 859-257-2010 or Campus fax to 859-257-1679