Get NM FMLA Request Form 2009-2023
_____________________ Job Title: ____________________________________ Employee ID:______________________________Full time/Part time: _____________________________ Supervisor: ________________________________Judicial Entity:________________________________ EMPLOYEE ELIGIBILITY Date of hire with State of New Mexico: ____________ #of hours worked over the previous 12 months: _______ LEAVE ENTITLEMENT REQUESTED (Forms associated with FML requests can be found on the Department of Labor web site or.
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