Form preview

Get the free Fmla Request Form

Get Form
This form is to be completed by employees who wish to request a leave of absence under the Family and Medical Leave Act (FMLA). It collects information regarding the employee\'s name, job title, reason for the leave, and other necessary details to process the request while ensuring that the employee understands the requirements and conditions of taking FMLA leave.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign fmla request form

Edit
Edit your fmla request form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your fmla request form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing fmla request form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit fmla request form. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Register for an account and see for yourself!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
24 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The pdfFiller premium subscription gives you access to a large library of fillable forms (over 25 million fillable templates) that you can download, fill out, print, and sign. In the library, you'll have no problem discovering state-specific fmla request form and other forms. Find the template you want and tweak it with powerful editing tools.
With pdfFiller, the editing process is straightforward. Open your fmla request form in the editor, which is highly intuitive and easy to use. There, you’ll be able to blackout, redact, type, and erase text, add images, draw arrows and lines, place sticky notes and text boxes, and much more.
The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign fmla request form and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.
The FMLA request form is a document that employees use to request leave under the Family and Medical Leave Act (FMLA) for eligible family and medical reasons.
Employees who are eligible for FMLA leave and wish to take time off for qualifying family or medical reasons are required to file the FMLA request form.
To fill out the FMLA request form, employees must provide their personal information, dates of the requested leave, the reason for the leave, and any necessary medical documentation.
The purpose of the FMLA request form is to formally notify the employer of the employee's need for leave and to initiate the process for approving the leave under the FMLA.
The FMLA request form must report information such as the employee's name, contact information, the type of leave requested, dates of leave, and details about the medical condition or family situation.
Fill out your fmla request form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.