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Get Halliburton Fmla Form

For certain qualifying medical conditions for yourself and family or military reasons for family members. This notification form must be completed in its entirety by you, the employee, and submitted to the Medical and Disability (M & D) Department. This form should be submitted in advance of the requested effective date of the leave, at least 30 days in advance of the leave, if the leave is foreseeable. If the leave is was unforeseen or is less than 30 days in the future, you must complete this.

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