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Fmla 2026
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- Click ‘Get Form’ to open the Family and Medical Leave Request Form in the editor.
- Begin by entering the date at the top of the form. Then, fill in your name, Social Security Number, job title, and supervisor's name.
- In the eligibility section, answer the questions regarding your employment duration and hours worked. If you answer 'yes' to both, proceed to the next question.
- Provide details about any previous medical or family leave taken, including dates and reasons for leave.
- Indicate your reason for requesting leave by circling one of the options provided. Fill in additional details as necessary.
- Specify the dates of leave requested and any intermittent or reduced schedule requests in the designated sections.
- Complete your employee statement by signing and dating it at the bottom of the form.
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