BBimage
Medical Leave of Absence Policy and Procedure
What do you do when you have a non-work related illness, injury or disability?
Employee Personal Data Update Form 3370
Have you moved? Changed Names? Need to change your emergency contact?
CN Family & Medical Leave Act (FMLA) Request Form
Federal Family & Medical Leave Act (FMLA) Request Form
CN will accept either above forms.
Application for Leave of Absence Without Pay Form 4670
Unpaid leave for childbirth, to care for a serious health condition of a spouse, son, daughter, or parent of the employee, then you need this form.
Request for Medical Leave of Absence
This form is to be filled out and sent to CMC to start your medical leave.
Medical Status Report
You need this form completed by you and your doctor.
LOCOMOTIVE ENGINEER
Take this form with you to leave with your health care provider. It gives a full description of the responsibilities and job requirements of a locomotive engineer as described by CN.