Pima County Family and Medical Leave (FMLA). Medical Certification from Health Care Provider for.The employee must inform their employer as soon as they are aware of their need to take FMLA. Request to Return From FMLA Leave: I should fill out the top portion of the form, notifying Human Resources of the date of my return. An eligible employee who wishes to donate accrued leave to the Donated Leave Bank must submit a completed Request to Donate Leave form to ESC. This personnel policy statement applies specifically to full-time regular classified non-exempt employees. For additional personnel policies that. Accumulated annual leave in the form of a lump sum payment. Some situations may be better addressed through. Submit Form Completion request along with proper payment and FMLA Forms via fax at or bring them to one of our offices.