Get Fmla Leave Request Form - Susquehanna Pa - Scschools

Filling out the FMLA leave request form is a crucial step for users seeking family or medical leave. This guide will provide detailed, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete your FMLA leave request form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Begin by entering your full name in the designated field labeled 'EMPLOYEE’S NAME.' This is essential for identifying your request.
3. Next, enter the date on which you are completing the form in the 'DATE' field. This helps in tracking the request timeline.
4. Fill out your address in the available fields. Include the city and zip code to ensure accurate contact information.
5. In the 'REASON FOR TAKING LEAVE' section, check one box that best describes your situation. You may choose to care for a child, spouse, parent, or address your own serious health condition. If you check box 2 or 3, you must provide a letter from a licensed physician to verify the medical circumstance.
6. Indicate the type of leave you are requesting. Check the box corresponding to either continuous or intermittent leave. If requesting continuous leave, specify the start and end dates. For intermittent leave, outline your requested schedule in the provided space.
7. In the 'LEAVE REQUEST STATUS' section, leave this area blank, as it will be completed by your superintendent. This section will indicate whether your request is granted or denied.
8. Once you have completed all relevant sections of the form, ensure all information is accurate. You can then save your changes, download, print, or share the completed form as required.

Take action now by completing your FMLA leave request form online.