Employee Release form for use with FMLA - Dallas County 2025

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Administrators may choose to deliver Family and Medical Leave Act (FMLA) information, including the FMLA packet, reminder notices, etc., to an employees email address, provided the employee agrees beforehand to receive information electronically.
Requesting FMLA Leave. To request FMLA, you must complete an Employee Request for Family and Medical Leave (Online) 30 to 45 days days prior to the date you need your leave to begin. If you are unable to complete your request at least 30 days prior, then please submit it as soon as is practicable.
While use of this form is optional, a fully completed Form WH- 381 provides employees with the information required by 29 C.F.R. 825.300(b), (c) which must be provided within five business days of the employee notifying the employer of the need for FMLA leave.
FMLA - Serious Health Condition Alzheimers disease; chronic back conditions; cancer; diabetes; nervous disorders; severe depression; pregnancy or its complications, including severe morning sickness and prenatal care; treatment for substance abuse, multiple sclerosis;
Within FMLA, there are three types of leave that a qualified employee may take: Continuous, intermittent and reduced schedule.
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The first time an employee requests leave under the FMLA, you must give them a notice of eligibility, either orally or in writing. The notice must: Be given five days from the date of the leave request. Inform them whether or not they are eligible for the FMLA.
Because of doctors workloads and the inability in many situations to render a precise prognosis about the frequency and duration of a condition, it can be a challenge when they have to complete patients FMLA request forms.

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