- Use when employees request leave to care for a family member with a serious health condition.
- Give to employees to have completed and returned within 15 days, absent extenuating circumstances.
- Family members include spouses, children, and parents.
- 4 pages
- English and Spanish
- Measures 8.5” x 11”
- Made in the USA
Country Of Origin: USA
Format: Sheet
Compliance Topic: Family and Medical Leave Act (FMLA)
Language: English & Spanish
Size: 8.5” x 11”