This form is an Employment Application. The form provides that applications are considered without regard to race, color, religion, or veteran status.
Employee Request Form For Fmla Leave In Nassau
Category:
State:
Multi-State
County:
Nassau
Control #:
US-00413
Format:
Word;
Rich Text
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If you have difficulty in obtaining the Paid Family Leave forms or need help in completing these forms, please contact the PFL Helpline at . To request PFL, the employee requesting PFL must complete Part A of the Request For Paid Family Leave (Form PFL-1).In completing this form employees will be acknowledging in writing that their second job is subordinate to their employment with Nassau County. All employees requesting leave pursuant to this policy must complete the. This is a sample form for employees to request time off under the Family and Medical Leave Act. FMLA requires covered employers to provide up to 12 weeks of unpaid, job-protected leave to "eligible" employees for certain family and medical reasons.