Adams® Employee Request for FMLA Leave, 1-Use Interactive Digital Legal Form

$6.95
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.

Available in increments of 1
  • 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
More Information
Item # DLF516-SL
Purchasing Quantity 1 form
Write Your Own Review