Certification for Serious Injury or Illness of Covered Servicemember
The following Family Medical Leave form should be maintained in a confidential file with the employee's department. Please do not submit to Corporate Payroll or HR.
| Form Name | Format |
|---|---|
| Certification for Serious Injury or Illness of Covered Servicemember |
* Some Duke HR forms may require you to list your Duke Unique ID. If you do not know or are unsure of your Duke Unique ID, you can look it up here.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.
** Some forms available on this web site are in Adobe Portable Document Format (PDF). You will need Adobe Acrobat Reader to view and print these forms.