State of new mexico fmla forms 2026

1. Click ‘Get Form’ to open the New Mexico FMLA Request Form in the editor.
2. Begin by filling out the Employee Information section. Enter your name, work number, home number, date of request, job title, employee ID, full-time/part-time status, supervisor's name, and judicial entity.
3. In the Employee Eligibility section, provide your date of hire and the total hours worked over the past 12 months.
4. For Leave Entitlement Requested, select the reason for your leave by checking the appropriate box and providing any necessary details. If applicable, attach required certification forms.
5. Specify the period of leave you are requesting—whether it’s continuous, reduced schedule, or intermittent—and describe your work schedule as needed.
6. Review the Insurance Benefits section and indicate whether you wish to continue health and other insurance benefits during your leave.
7. Complete the Required Substitution of Paid Leave section by indicating how you will cover your FML absences with accrued leave or other options.
8. Finally, sign in the Employee Acknowledgment section to confirm that all information is accurate and complete before submitting it to your HR representative.

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