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Priority Number

FMLA Eligibility Company Response Form - Downloadable

A1430

Provide mandatory responses to employee FMLA leave requests in an electronic format

Use the electronic version of the FMLA Eligibility Company Response Forms to indicate whether an employee is eligible for FMLA leave under federal law.

The downloadable form:

  • Includes a tip sheet to help you understand the form
  • Is available instantly, plus you can access your printable form anytime in the "Manage My Downloads" section in your account once your order is complete
  • Printable forms are not returnable

System Requirements:

  • Adobe Acrobat 5.0 or later is required