FMLA & Hours of Care

To help you navigate FMLA:

FMLA GUIDE for employees

FMLA GUIDE for supervisors

Required Forms

FMLA Request Form - to be completed by employee 

FMLA Medical Certification - to be completed by health care provider

If you have questions about FMLA, or if you need a form that is not here (FMLA for Military, etc), please contact Katrina Hacker, khacker@ymcacolumbus.org or peopleandculturesupport@ymcacolumbus.org

All forms should also be returned to Katrina Hacker - employees may email, if your doctor requires them to be faxed, please fax to 614-382-8972.

Hours of Care

Hours of Care Request form- to be completed by employee

Hours of Care Pledge Form-to be completed by donor

Questions?  Please contact Katrina Hacker at 

khacker@ymcacolumbus.org or peopleandculturesupport@ymcacolumbus.org