Get Dos Ds-5155 2020-2025

Filling out the DoS DS-5155 form for paid parental leave (PPL) is an essential process for employees seeking to manage their leave under the Family and Medical Leave Act. This guide provides clear, step-by-step instructions to navigate the online completion of the DS-5155.

Follow the steps to successfully complete your PPL request form.

1. Click the 'Get Form' button to download the DS-5155 form and open it in your preferred online editor.
2. In the Identifying Information section, provide your full name, including your last name, first name, and middle initial. Additionally, insert both your personal and work phone numbers.
3. Enter your email addresses, ensuring to include both your personal and work email. This information is vital for communication regarding your leave request.
4. Fill in the name of your organization, detailing your agency, office, division, or branch to which you belong.
5. Indicate your plans for substituting paid parental leave for FMLA leave. Choose the relevant reason for requesting FMLA leave, such as the birth of a child, placement for adoption, or foster care placement.
6. Provide the anticipated or actual date of birth or placement. Specify when you plan to start and conclude your use of PPL, as well as your planned return to duty.
7. Select whether you will use FMLA leave continuously or intermittently. If you choose intermittent use, detail your reasons and plans for this type of leave.
8. Complete the Employee Certifications section by initialing each box to attest that the information provided is accurate and that you understand the implications of false certification.
9. Sign and date the application, ensuring that the date is formatted as mm-dd-yyyy.
10. Finally, if applicable, obtain your supervisor's approval by having them sign and date the form as well.
11. Once all sections are complete, save your changes, and utilize the options to download, print, or share the completed form as needed.

Complete your DoS DS-5155 form online today to ensure your parental leave request is processed smoothly.