Hello D100 Staff
The following is the procedure when requesting Family Medical Leave ( FMLA).
Please complete all of the steps below.
- Log on to FMLA Questionnaire Form and complete the google form.
- Below are FMLA Documents for your physician to complete with medical information. Download the one pertinent to your situation.
- Send the completed document with the original physician's signature to James Calabrese, Director of Staff & Student Services at LaVergne Education Center., 3401 Gunderson Ave. Berwyn, IL. 60402.
- After all the paperwork has been submitted and reviewed you will receive a Letter of Approval or Denial for your FMLA request medical leave via the US. mail and email from bsd100.org.
- If you have any questions during this process please contact Jenny Hosty via email at firstname.lastname@example.org or by phone at 708.303.4008.