FMLA Employee Medical Condition Form

• 22318 Route 62
• Box 16
• Tionesta, PA 16353
• 814.755.4491

The Forest Area School District does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs, activities or employment practices and provides equal access to the Boy Scouts and other designated youth groups. Inquiries may be directed to Mrs. Amanda Hetrick, Title VI Coordinator, Mrs. Elisha Pospisil, Title IX Coordinator, or Ms. Heather Stover, Section 504 Coordinator at (814) 755-4491

• 22318 Route 62
• Box 15
• Tionesta, PA 16353
• 814.755.3302
• 814.755.2427 (fax)

• P.O. Box 308
• 120 West Birch St.
• Marienville, PA 16239
• 814.927.6688
• 814.927.8452 (fax)