Skip to Main Content

Loading

Loading

Create a Website Account - Manage notification subscriptions, save form progress and more.   

  • Website Sign In
employee connect interior logo 2020
Search
  1. Manager Message
  2. Training
  3. Forms
  4. Resources
  5. Business Systems
  1. Feature Links
  2. Employee Connection
  3. Forms
  4. Human Resources
  5. Family and Medical Leave Act (FMLA) Forms

Family and Medical Leave Act (FMLA) Forms

9
1
1
2
  1. Certification of Health Care Provider - EMP

  2. Certification of Health Care Provider - FAM

  3. Designation Notice Form

  4. Notice of Eligibility and Rights Form

  1. Certification of Health Care Provider - EMP
  2. Certification of Health Care Provider - FAM
  3. Designation Notice Form
  4. Notice of Eligibility and Rights Form
Home
Ipay
Kronos
Staff
Tech Support
  1. Services

    SERVICES

COUNCIL
Pay Online
E - NEWS
FOIA
Notify Me®
Contact Us
Property Information
Schools
Parks & Recreation
Libraries
Videos
Economic Development
Next Previous

    Contact Us

    1. City of Hampton
      22 Lincoln Street
      Hampton, VA 23669

      Phone: 757-727-8311

      Directory

    Helpful Links

    1. Leave Request Form (PDF)
    2. O365 (Formerly Netmail)
    3. Holiday Schedule (PDF)
    4. City FAQs
    5. GIS - Internal
    /QuickLinks.aspx

    Quick Links

    1. Home
    2. Copyright Notices
    3. Contact Us
    4. Accessibility
    5. Site Map
    6. A 757 Community
    /QuickLinks.aspx

    Social Media

    Facebook
    Twitter
    Instagram
    YouTube
    RSS
    1. CivicPlus Logo Government Website by CivicPlus®
    Arrow Left Arrow Right
    [{"WidgetSkinID":16,"ComponentType":20,"FontFamily":"Montserrat","FontVariant":"700","FontColor":"#fff","FontSize":1.10,"FontStyle":0,"TextAlignment":0,"ShadowColor":"","ShadowBlurRadius":0,"ShadowOffsetX":0,"ShadowOffsetY":0,"Capitalization":0,"HeaderMiscellaneousStyles1":"","HeaderMiscellaneousStyles2":"","HeaderMiscellaneousStyles3":"","BulletStyle":0,"BulletWidth":2.00,"BulletColor":"","LinkNormalColor":"","LinkNormalUnderlined":false,"LinkNormalMiscellaneousStyles":"background-size: contain;","LinkVisitedColor":"","LinkVisitedMiscellaneousStyles":"","LinkHoverColor":"","LinkHoverUnderlined":false,"LinkHoverMiscellaneousStyles":"","LinkSelectedUnderlined":false,"ForceReadOnLinkToNewLine":false,"DisplayColumnSeparator":false,"ColumnSeparatorWidth":0.0000,"HoverBackgroundColor":"","HoverBackgroundGradientStartingColor":"","HoverBackgroundGradientEndingColor":"","HoverBackgroundGradientDirection":0,"HoverBackgroundGradientDegrees":0.0000000,"HoverBackgroundImageFileName":"","HoverBackgroundImagePositionXUseKeyword":true,"HoverBackgroundImagePositionXKeyword":0,"HoverBackgroundImagePositionX":{"Value":0.0,"Unit":0},"HoverBackgroundImagePositionYUseKeyword":true,"HoverBackgroundImagePositionYKeyword":0,"HoverBackgroundImagePositionY":{"Value":0.0,"Unit":0},"HoverBackgroundImageRepeat":0,"HoverBorderStyle":0,"HoverBorderWidth":0,"HoverBorderColor":"","HoverBorderSides":15,"SelectedBackgroundColor":"","SelectedBackgroundGradientStartingColor":"","SelectedBackgroundGradientEndingColor":"","SelectedBackgroundGradientDirection":0,"SelectedBackgroundGradientDegrees":0.0000000,"SelectedBackgroundImageFileName":"","SelectedBackgroundImagePositionXUseKeyword":true,"SelectedBackgroundImagePositionXKeyword":0,"SelectedBackgroundImagePositionX":{"Value":0.0,"Unit":0},"SelectedBackgroundImagePositionYUseKeyword":true,"SelectedBackgroundImagePositionYKeyword":0,"SelectedBackgroundImagePositionY":{"Value":0.0,"Unit":0},"SelectedBackgroundImageRepeat":0,"SelectedBorderStyle":0,"SelectedBorderWidth":0,"SelectedBorderColor":"","SelectedBorderSides":15,"HoverFontFamily":"","HoverFontVariant":"","HoverFontColor":"","HoverFontSize":0.00,"HoverFontStyle":0,"HoverTextAlignment":0,"HoverShadowColor":"","HoverShadowBlurRadius":0,"HoverShadowOffsetX":0,"HoverShadowOffsetY":0,"HoverCapitalization":0,"SelectedFontFamily":"","SelectedFontVariant":"","SelectedFontColor":"","SelectedFontSize":0.00,"SelectedFontStyle":0,"SelectedShadowColor":"","SelectedShadowBlurRadius":0,"SelectedShadowOffsetX":0,"SelectedShadowOffsetY":0,"SpaceBetweenTabs":0,"SpaceBetweenTabsUnits":"","Trigger":1,"AnimationId":"e99ea493-44ca-4a30-88f4-14ac31e71b7e","AnimationClass":"animatione99ea49344ca4a3088f414ac31e71b7e","ScrollOffset":33,"TriggerNameLowerCase":"hover","ParentComponentWithTrigger":null,"BackgroundColor":"","BackgroundGradientStartingColor":"","BackgroundGradientEndingColor":"","BackgroundGradientDirection":0,"BackgroundGradientDegrees":0.0000000,"BackgroundImageFileName":"/ImageRepository/Document?documentID=24799","BackgroundImagePositionXUseKeyword":true,"BackgroundImagePositionXKeyword":1,"BackgroundImagePositionX":{"Value":0.0,"Unit":0},"BackgroundImagePositionYUseKeyword":true,"BackgroundImagePositionYKeyword":1,"BackgroundImagePositionY":{"Value":0.0,"Unit":0},"BackgroundImageRepeat":0,"BorderStyle":0,"BorderWidth":0,"BorderColor":"","BorderSides":15,"MarginTop":{"Value":null,"Unit":0},"MarginRight":{"Value":null,"Unit":0},"MarginBottom":{"Value":null,"Unit":0},"MarginLeft":{"Value":null,"Unit":0},"PaddingTop":{"Value":0.5000,"Unit":0},"PaddingRight":{"Value":null,"Unit":0},"PaddingBottom":{"Value":0.5000,"Unit":0},"PaddingLeft":{"Value":null,"Unit":0},"MiscellaneousStyles":"","RecordStatus":0}]
    Slideshow Left Arrow Slideshow Right Arrow