Periodic report 2026

1. Click ‘Get Form’ to open the FMLA Leave Periodic Status Report in the editor.
2. Begin by entering your name in the 'Employee' field, followed by the 'Leave Request Date' and your Social Security Number (SSN).
3. Next, indicate your anticipated 'Return Date' by filling in the appropriate field.
4. Select one of the options regarding your intent to return to work. If you plan to return, specify the date. If not, provide a new return date or indicate that you do not intend to return.
5. Finally, sign and date the form in the designated fields before submitting it back as instructed.

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