The New Jersey Family and Medical Leave Request Form is an official document provided by the State of New Jersey Department of Labor and Workforce Development (NJ DOLED) for employees who wish to request leave under the New Jersey Family Leave Act (NJ FLA) and the Federal Family and Medical Leave Act (FMLA). This form is specifically designed to enable employees to apply for time off from work to care for their own or their family members' serious medical conditions, to bond with a newborn, newly adopted or newly placed foster child, and to address certain military-related family needs. The Family and Medical Leave Request Form is an essential tool for employees seeking to avail their rights and benefits under the previously mentioned laws. It gathers crucial information about the employee, the reasons for leave, the dates and duration of leave, and the type of leave requested. By completing this form accurately and submitting it to their employer in a timely manner, employees initiate the leave request process and provide necessary documentation to qualify for protected leave. There are different types of New Jersey Family and Medical Leave Request Forms that cater to specific needs and circumstances. Some of these include: 1. FMLA Intermittent Leave Request Form: This form is used when an employee requires leave on an intermittent basis or on a reduced work schedule due to a serious medical condition affecting themselves or a family member. It enables employees to detail the specific dates and times they need to be absent from work and provides information about their healthcare providers. 2. FMLA Military Family Leave Request Form: This form is used when an employee needs to request leave for a qualifying exigency arising from a family member (spouse, child, or parent) being on active military duty or impending call to active duty. It also serves as a request for leave due to a family member's serious injury or illness while on active military duty. 3. NJ FLA Bonding Leave Request Form: This form is used by employees who wish to take leave to bond with a newborn child, newly adopted child, or newly placed foster child. It requires information about the child's details and the specific dates and duration of bonding leave. In conclusion, the New Jersey Family and Medical Leave Request Form is a comprehensive and crucial document that allows eligible employees in New Jersey to request protected leave from work for various family and medical reasons. It ensures compliance with both state and federal laws, facilitates effective communication between employees and employers, and helps protect the rights and benefits entitled to employees during their leave.