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ERD-8994 Family and Medical Leave Complaint This form should be used to file a Family and Medical Leave Act complaint - dwd wi-2026
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- Click ‘Get Form’ to open the ERD-8994 Family and Medical Leave Complaint in the editor.
- Begin by filling out the 'Complainant Information' section. Provide your first name, middle name or initial, last name, street address, city, state, zip code, and contact numbers.
- Next, complete the 'Respondent Information' section. Enter the name of the business you believe violated the law and ensure only one respondent is named per form.
- In the 'Employment Status' section, indicate your employment duration and hours worked with this employer. Answer all questions regarding your employment status accurately.
- Proceed to 'Previous Family and Medical Leave Use'. Indicate if you have used leave this calendar year and provide details if applicable.
- Fill out the 'Present Leave Request' section by checking appropriate reasons for your leave request and providing necessary details about your situation.
- Complete the 'Denial of Leave' section by noting when you received notice of denial and why you believe your rights were violated.
- Finally, sign and date the form at the bottom to confirm that all information is accurate before submitting it through our platform.
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Document Number: ERD-8994-E ; Description: This form should be used to file a Family and Medical Leave Act complaint. ; Content Contact: Equal Rights Information.Read more