Employee Benefit Forms
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- FMLA Policy
- FMLA At-A-Glance
- FMLA Notice to Employees
- FMLA Application for FMLA and Medical Release
- FMLA Certification of Health Care Provider for Employee's Serious Medical Condition
- FMLA Certification of Health Care Provider for Family Member's Serious Medical Condition
- FMLA Certification for Serious Injury or Illness of a Veteran-Military Caregiver Leave
- FMLA Certification for Serious Injury or Illness of a Current Service Member - Military Family Leave
- FMLA Certification of Qualifying Exigency for Military Family Leave
- FMLA Physician's Return to Work Form
- HDHP Summary of Benefits
- Hometown Health Plan Document
- Hometown Health Medical Claim Form
- HMO Plan Summary
- HMO Plan Evidence of Coverage
- VSP Summary (Vision Plan)
Washoe County does not discriminate on the basis of race, color, religion, sex, sexual
orientation, gender identity or expression, age, disability or national origin in the activities
and/or services which it provides. EOE