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In accordance with the policy adopted by the Board of Trustees of the Port
Neches-Groves Independent School District, please use these forms to request leave under the Family and Medical Leave Act of 1993.

Application for FMLA Leave

Certification of Health Care Provider - Employee

Certification of Health Care Provider - Family

Port Neches-Groves ISD operates without discrimination on the basis of sex, race, color, religion, national origin, age, or disability
in compliance with Title VI, Title VII, Title IX, Section 504, and all other applicable civil rights legislation.

While Port Neches-Groves ISD makes every effort to monitor its website, we do not assume responsibility for the change of content
or appropriateness of any website or link beyond the original link that has been provided on this page.

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