Family and Medical Leave Information & Forms

This page provides necessary information that is required to request leave under the provisions of the Family and Medical Leave Act (FMLA) of 1993.  Links are provided to fillable Department of Labor (DOL) forms for certification of the type of leave requested. 

if you need assistance or have any questions regarding FMLA, please contact the Human Resources Leave Analyst at (540) 831-6110 or send an email to

Access the entire FMLA packet below: