Family Medical Leave Act and Other Leaves

Please be sure you have read and understand the leave process before using the forms below.

* MIT certificate required

• Employee Leave of Absence Request Form (Microsoft Word document)
• Extended Sick Leave Request Form* (for use only by Administrative Officers and Human Resources Officers)
• Medical Certification form (Adobe PDF)
• Certification of Qualifying Exigency for Military Family Leave (Adobe PDF)
• Certification for Serious Injury or Illness of Covered Servicemember (Adobe PDF)
• Supervisor's Leave Request (for use only by Administrative Officers and Human Resources Officers)