Paw Paw Public School District

2025 1095-B & 1095-C Notice

Accident/Injury Forms

• Workplace Injury Letter to Employees

• Employee Report of Injury

• Supervisor's Report of Employee Injury

• Student Injury Report Form

Family Medical Leave Act

• Employee Rights Under the Family Medical Leave Act Poster

• FMLA Leave Request (Initial Form to Complete)

• Certification of Health Care Provider for Employee's Serious Health Condition

• Certification of Health Care Provider for Family Member's Serious Health Condition

• Return to Work Form

Personal Information Update

• Employee Emergency Contact Form

• Employee Personal Contact Information Form

Accommodation Request

• Workplace Accommodation Request Form

• Medical Information Request Form

CDL Drivers Drug & Alcohol Clearinghouse

• FMCSA Drug & Alcohol Clearinghouse Registration Instructions

• Clearinghouse Notice Signature Form

• Signature Consent for Drug & Alcohol Clearinghouse Limited Queries