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Below are electronic versions of the forms in use by Human Resources including Summary Plan Descriptions (SPDs) for our benefit plans.

You'll need the Adobe Acrobat Reader to access these files:

                       Request for FMLA
                       Authorization for Release of Health Information
                       Family Medical Leave (FML) Checklist
                       Designation Notice
                       Employee's Serious Health Condition
                       Family Member's Serious Health Condition
                       Certification of Qualifying Military Exigency
                       Certification for Serious Injury or Illness of Covered Servicemember


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Whether crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins.

Maryland 410-288-8100
U.S. 1-410-464-6713 (toll free)
International +1-410-614-6424



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