(260) 432-4400

Congratulations on your Pregnancy! Our staff is aware you may need FMLA/Short Term Disability paperwork completed during or after your pregnancy or surgery. If you do, please follow the instructions below.

  • If you don’t already have an FMLA or disability form, please contact your employer- they will instruct you on how to proceed with your request for a leave of absence.
  • There is a $20 charge for the completion of any FMLA/Short Term Disability paperwork.
  • You may drop off or fax your FMLA/Short Term Disability paperwork at the front desk at any of our locations. Our main fax number is 260-969-6898.
  • Please allow up to 5 days for processing.  We can fax, mail, or you can pick up your paperwork when completed.
  • If you have any questions at all regarding your FMLA/Short Term Disability paperwork, please call Jyl at 260-432-4400 x6412