Employee Request Form For Fmla Leave In Harris - Employment or Work Application - General
Category:
State:
Multi-State
County:
Harris
Control #:
US-00413
Format:
Word
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Description
Ejemplo de solicitud de empleo para el empleado.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés.
For your convenience, the complete English version of this form is attached below the Spanish version.
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There are five DOL optional-use FMLA certification forms. If they do not request a certification, move on to step 4.Step 3: Provide a completed certification to your employer. This is a sample form for employees to request time off under the Family and Medical Leave Act. Note: FMLA provides up to 26 work weeks for this type of leave. If you have difficulty in obtaining the Paid Family Leave forms or need help in completing these forms, please contact the PFL Helpline at . Download and save the PDF file to your computer before filling out. To have medical records sent to us or to request your medical records, please fill out the Medical Release Form and fax to .