Family and Medical Leave Act Request Form | Practical Law

Family and Medical Leave Act Request Form | Practical Law

A request form for employees to use when requesting medical or military-related family leave under the Family and Medical Leave Act (FMLA). This Standard Document has integrated notes with important explanations and drafting tips. This Standard Document addresses federal law. For information on state leave law requirements, see the State Q&A Tools under Related Content.

Family and Medical Leave Act Request Form

Practical Law Standard Document 9-503-3053 (Approx. 14 pages)

Family and Medical Leave Act Request Form

by Practical Law Labor & Employment
Maintained • USA (National/Federal)
A request form for employees to use when requesting medical or military-related family leave under the Family and Medical Leave Act (FMLA). This Standard Document has integrated notes with important explanations and drafting tips. This Standard Document addresses federal law. For information on state leave law requirements, see the State Q&A Tools under Related Content.