Family/Medical Leave (FMLA) Inquiry Form

Family/Medical Leave (FMLA) Inquiry Form

Who is the FLMA Inquiry for?*

Select

Banner ID (9 digits)*

First Name*

Last Name*

Employee Type*

Staff

Faculty

Faculty, please contact your faculty contracts office listed below for FMLA Inquiries and Requests:

Main & Branch Campus Faculty, Please Contact:

Office for Academic Personnel

505.277.4528

School of Medicine Faculty, Please Contact:

SOM Faculty Affairs

College of Pharmacy, College of Nursing, and College of Population Health Faculty, Please Contact:

HSC Faculty Contracts

House Staff/Resident Physicians, Please Contact:

Graduate Medical Education (GME)

Employee UNM Email*

Contact Phone Number*

Phone

Supervisor Name*

Supervisor UNM Email*

Reason For Contact*

General Inquiry

Request FMLA

For more information and for the HR FMLA electronic forms please see link below:

Please submit your documents to the secure link below:

You can fax your FMLA documents to the fax number below:

505.277.2278