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Get the free Family and Medical Leave Act Request Form

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Request FMLA leave for serious health conditions, maternity, or family care. Complete this form to apply or submit online via My MTA Portal.
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How to fill out family and medical leave

01
Determine if you are eligible for family and medical leave based on your employment status and the size of your employer.
02
Obtain the necessary medical certification from a healthcare provider if you are requesting leave for medical reasons.
03
Notify your employer of your need for family and medical leave and provide the required documentation.
04
Fill out the appropriate forms provided by your employer for requesting family and medical leave.
05
Follow up with your employer to ensure that your request for leave has been approved and that any necessary arrangements have been made.

Who needs family and medical leave?

01
Employees who need time off to care for a newborn child, a sick family member, or a serious health condition may require family and medical leave.
02
Those who are eligible under the Family and Medical Leave Act (FMLA) and have met the necessary requirements may also need to take advantage of this type of leave.
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Family and medical leave refers to the provision of job-protected leave that allows employees to take time off for specific family and medical reasons, such as the birth or adoption of a child, personal or family health issues, or to care for a family member with a serious health condition.
Eligible employees who work for covered employers under the Family and Medical Leave Act (FMLA) are required to file for family and medical leave when they need to take time off for qualifying reasons.
To fill out family and medical leave, employees typically need to complete a designated leave request form provided by their employer, detailing the reason for the leave, the expected duration, and any supporting medical documentation if applicable.
The purpose of family and medical leave is to provide employees with the necessary time off to address personal or family health matters without jeopardizing their job security.
Employees must report information such as the reason for the leave, the expected start and end dates, any medical documentation (if required), and their employer's leave policy.
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