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Clayton County Public Schools Division of Human Resources FAMILY MEDICAL LEAVE REQUEST FORM EMPLOYEE INSTRUCTIONS This form must be completed by the employee to request a medical leave of absence.
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How to fill out family medical leave request

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How to fill out family medical leave request

01
Obtain the necessary forms from your Human Resources department or online.
02
Complete all required information including your personal details, the reason for requesting leave, and the dates you will be absent.
03
Provide any supporting documentation such as a doctor's note or medical records if needed.
04
Submit the completed forms to your supervisor or HR department within the specified timeline.
05
Await approval or denial of your request and follow up as needed.

Who needs family medical leave request?

01
Employees who need to take time off work to care for a family member with a serious health condition.
02
Employees who are experiencing a serious health condition themselves and need time off to recover.
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Family medical leave request is a request for unpaid leave from work to take care of a family member who is ill or in need of medical attention.
Employees who are eligible for family medical leave under the Family and Medical Leave Act (FMLA) are required to file a family medical leave request.
To fill out a family medical leave request, employees typically need to complete a form provided by their employer and submit it along with any required documentation.
The purpose of a family medical leave request is to provide employees with job-protected leave to care for a family member who is ill or in need of medical attention.
Family medical leave requests typically require information such as the employee's name, the family member's name, the reason for the leave, and the duration of the leave.
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