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 Santa Clara
Category:
State:
Multi-State
County:
Santa Clara
Control #:
US-00413
Format:
Word;
Rich Text
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The FMLA and the CFRA are federal and state leave laws that allow eligible employees of covered employers to take unpaid, job-protected leave. Please complete each section of the entire form along with your signature.The Family and Medical Leave Act (FMLA) is a federal law that provides eligible employees with job-protected leave for qualifying family and medical reasons. This is a sample form for employees to request time off under the Family and Medical Leave Act. Use this form when an employee requests leave due to a qualifying exigency relating to a family member's military service. How to Request a Family Medical Leave. Purpose. Managers should direct any employee requests for leave to Benefits in the Department of Human Resources. If you have not completed the form, your supervisor or manager will ask you to complete it to assist the County in evaluating your request. Leave of Absence Requests are submitted via eWay. Next, check the reason for your leave under the FMLA guidelines.