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Priority Number

FMLA Employee Leave Request

A1432

Discover this convenient solution for managing employee FMLA leave requests

The ComplyRight™ Employee FMLA Leave Request Form helps employers collect required information to determine an employee's eligibility for leave as defined by the Family and Medical Leave Act, without violating personnel privacy laws.

$40.99

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Each package contains a tip sheet that provides:

  • Step-by-step guidelines to ensure accurate completion
  • Details on employee coverage and eligibility
  • Critical FMLA compliance information
  • View sample