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Family Medical Leave Request Employee Information Employee Name (Last, First, M.I.) Employee No. PLEASE PRINT Employee Address City Employee Telephone Number State Name of person who completed form
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acs fml request formdoc is a form used to request Family and Medical Leave under the Family and Medical Leave Act (FMLA) from the employer.
Employees who need to take a leave for family or medical reasons are required to file acs fml request formdoc.
To fill out acs fml request formdoc, employees must provide information about the reason for leave, anticipated duration, and any supporting documentation.
The purpose of acs fml request formdoc is to request and receive approval for Family and Medical Leave from the employer.
Information such as reason for leave, anticipated duration, and any supporting documentation must be reported on acs fml request formdoc.
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