What paperwork does a faculty member need to fill out in order to initiate a medical leave?

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What paperwork does a faculty member need to fill out in order to initiate a medical leave?

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To initiate a medical leave the faculty member must: » Have their physician fill out a Certification of Physician or Practitioner form. This form and the FMFL policy are available online at http://www.pitt.edu/HOME/PP/policies/02/02-11-01.html, through department chairs, deans, and Linda Wykoff in the Office of the Provost. The filled out form can be either sent directly to Linda Wykoff in the Office of the Provost or it can be sent to the faculty’s department chair. » The faculty member should also write a memo to their department chair requesting medical leave under the FMFL policy. » In the memo, the faculty member should provide the start date and end date for the leave that was recommended by their physician. .

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