Human Resources - Family and Medical Leave

Human ResourcesHuman Resources


Family and Medical Leave



Employee Request Form (HR-1)

Employee Medical Certificate (P-33A)

Caregiver Medical Certificate (P-33B)

Intent to Return to Work (HR-3)

FMLA Resources

Employee Rights & Responsibilities Under the FMLA

Statewide Family and Medical Leave Policy

Contact Martina Gillespie in Human Resources, at (860) 832-1753, for FMLA information.

Sick Leave Bank Application Forms

AAUP & Management/Confidential SLB Application Form

  • See AAUP contract Article 13.3; see M/C HR Policies Article 8.5.3.

SUOAF SLB Application Form

  • See SUOAF contract Article 24.2.10.