Adams® Employee Request for FMLA Leave, 1-Use Interactive Digital Legal Form
Adams
1 form
DLF516-SL
Employees can use this simple form to request unpaid, job-protected leave under the Family and Medical Leave Act (FMLA) for specified family or medical reasons, with continuation of group health insurance coverage, just as during employment.
- Simple form documents an employee's request for leave under the Family Medical Leave Act (FMLA)
- Customizes the employee's qualifying reason for leave
- Records the expected duration of leave with begin and end dates, not to exceed the maximum 12 weeks
- Attorney-reviewed form valid for use in every state
- Click the secure link in your account to begin the interactive Q&A that creates your legal form
- Responses auto save as you work; return any time to complete your secure form at topslegalforms.com/docs
- Online Guidance Notes offer additional information on signing, filing, and executing your documents
- Download to save and print your customized PDF file
| Item # | DLF516-SL |
|---|---|
| Purchasing Quantity | 1 form |
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