Get Fmla/kcfml Leave Request. Fmla Leave Request Form - Kingcounty

Completing the FMLA/KCFML Leave Request Form is a crucial step in securing your family and medical leave. This guide will provide you with clear and supportive instructions to navigate the form efficiently, ensuring you provide the necessary information for your request.

Follow the steps to complete your leave request form.

1. Press the ‘Get Form’ button to access the FMLA/KCFML Leave Request Form. This will allow you to open the document in an editable format.
2. Begin by filling out your personal details. Include your full name, phone number, email address, home address, and employee ID number. Ensure that your supervisor’s name is also recorded.
3. Specify if your leave is to care for yourself or another person. If it is for another, please provide their name and relationship to you.
4. Indicate the reason for your leave. You do not need to provide detailed medical information – a brief description is sufficient.
5. Fill in your leave schedule by stating the anticipated start date and return-to-work date. Describe how you plan to take the leave, such as full-time or part-time.
6. Detail your paid leave accrual options. Check all applicable boxes and indicate the order of your leave preferences for both personal health and family care situations.
7. Acknowledge that the information you provided is accurate and complete. Read the statement carefully, then sign and date the form.
8. If applicable, attach the medical certification form and any other relevant documentation for your leave request.
9. Once the form is completed, save your changes. You can download it for your records, print it out, or share it with your department human resources contact.

Complete your FMLA/KCFML Leave Request online today to ensure your leave is arranged accurately and efficiently.