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Family and Medical Leave Complaint ; Document Number: ERD-8994-E ; Description: This form should be used to file a Family and Medical Leave Act complaint. The complaint should be filed within a reasonable time of when the employee discovers that his or her FMLA rights have been violated.Filing a Private Lawsuit. The Family and Medical Leave Act (FMLA) provides job-protected leave from work for family and medical reasons. If you believe your rights under the FMLA have been violated, you may file a complaint with WHD or file a private lawsuit against your employer in court. Gather information you will need to file your complaint. The FMLA entitles eligible employees of covered employers to take job-protected, unpaid leave for specified family and medical reasons. 2 The Employee's Guide to the Family and Medical Leave Act. Who Can Use FMLA Leave? Connecticut Supreme Court case.