FMLA Forms

Cert of HC Provider Employee Serious Condition   expires June 2023
Cert of HC Provider Family Member   expires June 2023

* For Military-Related Leave FMLA, Veteran FMLA, Designation Notice, and Notice of Eligibility
  See OFPD Admin
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STATION 76

8501 Preston Hwy
​Louisville, KY 40219
(502) 964-5111 office
​(502) 966-8388 fax 

STATION 77

10508 Preston Hwy
​Louisville, KY 40229
​(502) 968-1066 office
​(502) 968-0928 fax

STATION 78

1714 Rangeland Road
​Louisville, KY 40219
​(502) 969-0521 office
(502) 968-9350 fax
​Twin Springs