The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA …

To request leave on the basis of the Family and Medical Leave of Act (FMLA), please complete the following request form and submit to Human Resources at least 30 days prior to leave (unless leave …

Jan 26, 2024 · This is a sample form for employees to request time off under the Family and Medical Leave Act.

Jun 30, 2025 · To apply for FMLA leave, you need to submit a FMLA Request Form to your employer. You should provide as much notice as possible, ideally at least 30 days if the need for leave is …

Dec 28, 2024 · Learn how to sign up for FMLA, get the necessary paperwork, and request leave. Follow these steps to ensure a smooth FMLA application process with printable forms.

Mar 27, 2025 · Download our free Fmla Employee Request template and learn how to use it effectively. This comprehensive guide includes all components, best practices, and legal considerations.

The FMLA permits an employer to require that you submit a timely, complete, and sufficient medical certification to support a request for FMLA leave due to your own serious health condition.

While use of this form is optional, a fully completed Form WH-381 provides employees with the information required by 29 C.F.R. §§ 825.300(b), (c) which must be provided within five business …

In order to be eligible for up to 12 weeks (or 26 weeks for Military Caregiver Leave) of unpaid leave (in a 12-month period) under the Federal Family and Medical Leave Act (FMLA)*, the following criteria …

To request leave on the basis of the Family and Medical Leave of Act (FMLA), please complete the following request form and submit to Human Resources at least 30 days prior to leave (unless leave …