LARIMER COUNTY FORMS
Use these forms to complete request for Family Medical Leave (FMLA)
- Family and Medical Leave Request Form (LCHR-49) - Online
- Medical Leave of Absence Request Form (LCHR-60)
Use these forms to complete request for Family Medical Leave (FMLA)
HOURS: Monday - Friday, 8:00am-4:30pm
200 West Oak, Suite 3200, Fort Collins, CO 80521
PO Box 1190, Fort Collins, CO 80522
PHONE: (970) 498-5970 | FAX: (970) 498-5980
Email Human Resources
Email Benefits Team