Displaying 1 - 20 of 25
Request For Reasonable Accommodation
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| Attachment | Size |
|---|---|
| Request for Reasonable Accommodation (1.17 MB) | 1.17 MB |
Overview of Protected Leaves
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| Attachment | Size |
|---|---|
| Overview of Protected Leaves (1.84 MB) | 1.84 MB |
Preliminary Designation Notice - Department Use
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| Attachment | Size |
|---|---|
| Preliminary Designation Notice (187.67 KB) | 187.67 KB |
Public Health
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Physician Certification of a Serious Health Condition for a Family Member
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| Attachment | Size |
|---|---|
| Physical Certification of a Serious Health Condition for a Family Member (355.53 KB) | 355.53 KB |
Physician Certification of a Serious Health Condition for a Family Member
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| Attachment | Size |
|---|---|
| Physician Certification of a Serious Health Condition for a Family Member (232.57 KB) | 232.57 KB |
Military FMLA Leave Request Form
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| Attachment | Size |
|---|---|
| Military FMLA Leave Request Form (195.21 KB) | 195.21 KB |
Return to Work Authorization GCPER31
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| Attachment | Size |
|---|---|
| Return to Work Authorization - GCPER31 (185.24 KB) | 185.24 KB |
Physician Certification of a Serious Health Condition GCPER30
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| Attachment | Size |
|---|---|
| Physician Certification of A Serious Health Condition GCPER30 (275.75 KB) | 275.75 KB |
Coordination of Benefits While on a Leave Form
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| Attachment | Size |
|---|---|
| Coordination of Benefits (125.94 KB) | 125.94 KB |
Leave Request Form GCPER14
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| Attachment | Size |
|---|---|
| Leave Request Form GCPER14 (179.83 KB) | 179.83 KB |
Catastrophic Leave Request Form
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| Attachment | Size |
|---|---|
| Catastrophic Leave Request Form (47.71 KB) | 47.71 KB |
Questions & Answers About Measles
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CDC Information on Measles
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Attention: You Could Have Measles
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| Attachment | Size |
|---|---|
| Attention: You Could Have Measles (English) (601.65 KB) | 601.65 KB |
| Atención: Usted Puede Tener Sarampión (Español) (606.41 KB) | 606.41 KB |
Traveling? Think Measles (English y Español)
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| Attachment | Size |
|---|---|
| Traveling? Think Measles (English) (921.72 KB) | 921.72 KB |
| ¿Va a visitar otro país? Piense en el Sarampión. (Español) (152.69 KB) | 152.69 KB |
Pneumococcal Vaccine Information Sheet PPSV 23
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| Attachment | Size |
|---|---|
| Pneumococcal Vaccine Information Sheet PPSV23 (147.14 KB) | 147.14 KB |
| Información Sobre la Vacuna Antineumocócica Polisacárida (contra la Neumonía) PPSV 23 (296.04 KB) | 296.04 KB |
Pneumococcal Vaccine Information Sheet PCV 13
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| Attachment | Size |
|---|---|
| Pneumococcal Vaccine Information Sheet PCV 13 (150.84 KB) | 150.84 KB |
| Información Sobre la Vacuna Antineumocócica Conjugada (contra la Neumonía) PCV 13 (221.51 KB) | 221.51 KB |
Td (Tetanus, Diphtheria) VIS
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| Attachment | Size |
|---|---|
| Tdap (Tetanus, Diphtheria, Pertussis) Vaccine: What You Need to Know (130.38 KB) | 130.38 KB |
| Vacuna Td (tétanos, difteria): Lo que necesita saber (149.59 KB) | 149.59 KB |
Screening Questionnaire for Child Immunizations
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| Attachment | Size |
|---|---|
| Screening Questionnaire for Child Immunizations (166.3 KB) | 166.3 KB |
| Cuestionario Para la Vacunación de Niños (316.32 KB) | 316.32 KB |