When you ask for FMLA leave, you need to give your employer enough information so your employer can find out if the FMLA applies to your leave request. The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons.Notify your employer about your need for FMLA leave 30 days in advance. This is a sample form for employees to request time off under the Family and Medical Leave Act.