Get Dos Ds-1923 2020-2025

The DoS DS-1923 is a formal request for leave under the Family and Medical Leave Act (FMLA). This guide will assist users in completing the form accurately and efficiently to ensure their leave is processed without delays.

Follow the steps to complete the DoS DS-1923 online.

1. Press the ‘Get Form’ button to access the document and open it in the designated editor.
2. Enter your full name in the designated field.
3. Specify your grade level as indicated on your job classification.
4. Provide your position title clearly.
5. Indicate the bureau, office, or post you are affiliated with.
6. Fill in your personal and work telephone numbers.
7. Include both personal and work email addresses.
8. Select one option from the provided list of reasons for invoking FMLA.
9. Input the start date of your FMLA period in mm-dd-yyyy format.
10. Input the end date of your FMLA period in mm-dd-yyyy format.
11. Check all options that apply regarding your leave without pay substitution.
12. Indicate if you will apply for the Shared Voluntary Leave Program and provide the necessary dates.
13. Initial to acknowledge understanding that your leave will be granted provisionally pending required documentation.
14. State whether you have invoked FMLA in the past 12 months and provide the date if applicable.
15. Certify the accuracy of your statements by providing your name, signature, and date.
16. Have your supervisor and Bureau Executive Director review and sign, including the date.
17. Once completed, save the changes, and choose to download, print, or share the form as necessary.

Start filling out the DoS DS-1923 online to ensure your leave is processed promptly.