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Employee Information

Employee Name
Employee Address

Supervisor Information

Supervisor Name

Leave Details

e.g. Maternity, Sick, etc.
e.g. Cannot work in final month of pregnancy
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Confirmation

Clear Signature

As businesses strive for efficiency and compliance in managing employee leave requests, incorporating the Family and Medical Leave Act (FMLA) Request Form into your website is a pivotal solution.

Navigating the FMLA Request Form

This form template is a comprehensive tool designed to simplify and standardize the process of requesting leaves under the Family and Medical Leave Act. Our template encompasses these vital sections:

  • Employee Information: The request form first collects essential details such as the employee’s name, email, phone, and address.
  • Supervisor Information: Next, this form gathers information about the supervisor, including their name, email, and phone number.
  • Leave Details: This section captures specific leave-related information, such as the type of leave requested, the reason for leave, the duration of leave, and the start and end dates. The form template also provides a convenient space for employees to upload any supporting documentation if required.

By embedding this FMLA Request Form Template on your website, you empower employees to request leaves quickly and accurately. The structured format ensures that all necessary information is collected upfront, reducing back-and-forth communication and saving time for both employees and HR personnel.

So, don’t miss out on this helpful tool for your website! Sign up with WPForms to create your own FMLA Request Form today. Signing up grants access to this and thousands of other form templates.