This form is for employees seeking to take leave under the Family Medical Leave Act (FMLA). Employees should provide the reason they qualify for leave under the FMLA as well as affirm the conditions under which the leave will be taken. How it works:
You will answer a questionnaire giving us the information we need to complete your document.
We will upload your completed document to your secure client portal.
You will be able download your document, print it, out and store the final copy online indefinitely.
Additional instruction for use of the completed document is included in the price.
