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Family Medical Leave Act (FMLA)

General Information

Department of Employee Relations Contacts

Johnnie Nelson
Leave Administration Coordinator
[email protected]

Katherine Holiday
Human Resources Compliance Officer
[email protected]

Secure Fax Line for FMLA Medical Certifications

Due to concerns regarding COVID-19 and the possibility of increased remote work, DER is requesting that FMLA medical certifications be delivered by fax only, for the foreseeable future. Certifications should continue to be faxed to the secure fax line at (833) 816-1918. Employees who do not have ready access to a fax machine should call Johnnie Nelson at (414) 286-2358 to discuss alternate arrangements for delivery of medical certifications.


For Administrators

Administrator FMLA Checklist


Note: Certain PDF viewers do not support features of the newest DOL forms. If you are having issues opening any of these forms, please update your browser setting to use Adobe Reader as the default PDF viewer. Alternatively, save a local copy of the PDF on your device and then open it using Adobe Reader or other PDF program.

Return to Work Forms:

For Managers

Eligibility Notice Instructions – Managers

Required Posters



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