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FMLA: Forms | U.S. Department of Labor - DOL

    https://www.dol.gov/agencies/whd/fmla/forms
    Qualifying Exigency, form WH-384 – use when the leave request arises out of the foreign deployment of the employee’s spouse, son, daughter, or parent. Military Caregiver Leave of a Current Servicemember, form WH-385 – use when requesting leave to care for a family member who is a current service member wit… See more

FMLA Leave Request Form - FTDC

    https://www.ftdc.us/wp-content/uploads/2021/05/fmla-leave-request-form.pdf
    Eligible employees are entitled under the Family and Medical Leave Act (FMLA) to take up to 12 or 26 weeks of job-protected leave for certain family and medical reasons. Submit …

Family and Medical Leave Act (FMLA) Forms

    https://smartasset.com/financial-advisor/family-medical-leave-act-fmla-forms
    The Family and Medical Leave Act (FMLA) is a law that ensures that employees have access to up to 12 weeks of unpaid, job-protected leave per year for qualified …

Request for Leave or Approved Absence - United …

    https://www.opm.gov/forms/pdf_fill/opm71.pdf
    under the Family and Medical Leave Act of 1993, please provide the following information: ... I hereby request leave/approved absence from duty as indicated above and certify …

Request for Family/Medical Leave Under the FMLA

    https://eservices.paychex.com/secure/blankforms/FMLA%20Request%20For%20Leave.pdf
    Request for Family/Medical Leave Under the FMLA. In order to be eligible for up to 12 weeks (or 26 weeks for Military Caregiver Leave) of unpaid leave (in a 12-month ... If …

Forms & Documents | Department of Human Resources

    https://sfdhr.org/forms-and-documents
    Request for Live Scan Service Form : Family and Medical Leave Act (FMLA) FML1: Notice of Eligibility Rights and Responsibilities : FML2: Certification of Healthcare Provider - …

Family and Medical Leave of Absence Request

    https://www.tbr.edu/sites/default/files/forms/2014/08/FMLA-Absence%20Request.pdf
    I request the following forms for my FMLA leave of absence: 1. Certification of Health Care Provider: This form is to be completed by either my health care provider (if this leave is …

Family and Medical Leave - hrrm.harriscountytx.gov

    https://hrrm.harriscountytx.gov/Pages/Family-and-Medical-Leave-Act-Forms.aspx
    Family and Medical Leave Act Forms The Family and Medical Leave Act (FMLA) provides eligible employees with leave (with or without pay), certain benefits protection, …

Forms | Paid Family Leave

    https://paidfamilyleave.ny.gov/forms
    If you have difficulty in obtaining the Paid Family Leave forms or need help in completing these forms, please contact the PFL Helpline at (844)-337-6303. ... Learn …

Paid Family Leave – Forms and Publications

    https://edd.ca.gov/en/disability/PFL_Forms_and_Publications/
    Visit Online Forms and Publications. Select Keyword (s) or Form Number from the dropdown. Enter DE 2501F for an English form or DE 2501F/S for a Spanish form. …



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