FMLA Request/Response Pack

Our FMLA Request/Response Pack combines three important FMLA forms in one package to simplify your FMLA request/response recordkeeping.

Each pack contains 50 each of the following forms:

Family and Medical Leave Request
Updated October, 2009!

Standardizes employee requests, requests medical documentation, informs employees of their FMLA rights.

FMLA Employer Response (Eligibility) Form
Updated March, 2009!

This form fulfills the employer's legal obligations when responding to an FMLA leave request by an employee.

FMLA Employer Response (Designation) Form
Updated March, 2009!

This form meets the employer's obligation to confirm leave as FMLA-protected and informs the employee of the amount of leave that will be counted against the employee's FMLA leave entitlement.

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