Get Fmla Request (family Medical Leave Act) - Schreiner

Filling out the Family Medical Leave Act (FMLA) request form is an essential step for employees needing to take medical or family leave. This guide provides step-by-step instructions to ensure that the process is clear and accessible for all users.

Follow the steps to complete your FMLA request form accurately.

1. Press the ‘Get Form’ button to access the FMLA Request form and open it within the appropriate online editor.
2. Input your personal information in the designated fields. This includes your name, today's date, and address. Ensure that all information is accurate and up-to-date.
3. Indicate whether your spouse is employed by the same company by selecting 'Yes' or 'No' as applicable.
4. Select the reason for your leave by marking the appropriate box. Options include caring for a newborn or newly adopted child, caring for a family member with a serious health condition, or your own serious health condition.
5. If your leave will be taken all at once, fill in the starting date and the expected return date in the designated fields. If your leave is intermittent or on a reduced schedule, ensure to outline your schedule for taking off.
6. Note that intermittent or reduced-schedule leave for childbirth or placement of a child requires company approval.
7. Sign and date the form in the employee signature section. Then, if required, obtain your supervisor's signature and date the form in the supervisor's signature section.
8. Lastly, ensure to copy the form to relevant parties such as your supervisor, payroll, and your employee file if necessary. Once all information is complete, you can save changes, download, print, or share the completed form.

Begin your FMLA Request online now to ensure you receive the leave you need.