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ARKANSAS DEPARTMENT OF FINANCE AND ADMINISTRATION REQUEST FOR FAMILY AND MEDICAL LEAVE Agency/Institution Name Date (MM/DD/BY) Employee Name (Last, First, Middle) BEGIN FMLA: (MM/DD/BY) Personnel
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FMLA Request Document (fmlarequestdoc) is a form used by employees to request unpaid leave under the Family and Medical Leave Act (FMLA).
Employees who are seeking unpaid leave under FMLA are required to file fmlarequestdoc.
Employees need to provide their personal information, the reason for requesting leave, the duration of leave needed, and any supporting documentation when filling out fmlarequestdoc.
The purpose of fmlarequestdoc is to formally request unpaid leave under FMLA and to provide necessary information for the employer to approve or deny the request.
Information such as the employee's name, job position, reason for leave, requested dates of leave, and any relevant medical certifications must be reported on fmlarequestdoc.
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