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FML Request/Military Leave Request

To submit FLMA request or forms, please complete the request below.  

Forms can be found below or on our HR website.

Please complete the fields below.

PSID 

 

Type of Leave           

Employee Type        

Pay Type                 

 

 

 

 

Please Note: FML forms can also be submitted in the following manner:

  1. faxed to 713-743-4830
  2. hand delivered to 325 McElhinney Hall
  3. scanned and emailed to hrben@central.uh.edu with FMLA in subject line