Contact: 312.744.4976 or HumanResources@cityofchicago.org
FMLA Policy
Application Form
380-E Certification of Health Care Provider for Employee’s Serious Health Condition
380-F Certification of Health Care Provider for Family Member’s Serious Health Condition
384 Certification for Military Family Leave for Qualifying Exigency
385 Certification for Serious Injury or Illness of a Current Servicemember for Military Caregiver Leave
385-V Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave
Return to Work Authorization form
Newborn-Parental
Pregnancy-Maternity-Parental