MTI Forms and Information

---

Medical Forms and Information:

Medical Leave Fact Sheet	Long Term Disability Instruction Form
ESEA Medical Leave Fact Sheet	Long Term Disability Employee Statement of Claim
Teacher Maternity Leave Information Sheet	Long Term Disability Attending Physician’s Statement
MMSD Leave of Absence Request Form	Long Term Disability Fraud Notice
FMLA Form for EMPLOYEE’S Serious Health Condition	FMLA Form for FAMILY MEMBER’S Serious Health Condition
MMSD Release Form MMSD Reasonable Accommodation Request Form & Doctor Certification	MMSD Leave of Absence MTI Return to In Person Leave of Absence Information Sheet

Retirement Information and Forms:

• Teacher Retirement Packet 2020-21
• ESEA-MTI Retirement Packet 2020-21
• Retirement Appointments – MTI Members can sign-up to meet with Steve Pike for a FREE retirement/financial consultation.  Steve Pike is a retired MTI teacher and a current Member Benefits Consultant for WEA Member Benefits.  Click here for more information and for available sign-up times.

---

MTI Solidarity Fund Information and Forms:

• Solidarity Fund Application Form and Instructions (.pdf)

---

Worker’s Compensation Information and Forms:

• MTI Worker’s Compensation Fact Sheet
• State of WI Worker’s Compensation Info.

---

Wisconsin Department of Workforce Development

• Wisconsin Department of Workforce Development Website
• Unemployment Compensation
• UC Claimant Handbook