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Oregon Family Medical Leave Toolkit

Templates & Toolkit Effective 7/1/24


Templates                                                                                                                    Quick links 

Affinity Attestation Form                                                                                                       Family Medical Leave Toolkit

Agency Designation                                                                                                               Paid Leave Oregon Toolkit

Agency Designation and Exhaust

Bereavement Leave

Eligibility Notification

Eligibility and Designation Notification

Exhaust Notice

Insufficient Medical Certification

OFLA Paid Leave Change Notification

OFLA Sick Child Care Certification

Qualifying Purposes under FMLA and OFLA

Request for Medical Certification

Sick Child Leave

24 Hour Report Email



Toolkit

Healthcare Provider Certification- Fillable

Healthcare Provider Certification- Printable

Leave Options Chart 

Optional Insurance Continuation Chart 

Policy Attachments Effective 7/1/24

Sick Child Leave Attachment

OFLA Military Leave Attachment

OFLA Bereavement Leave Attachment


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Webpage last updated: 10/25/2024