
Get the free fmla request form
Fill out, sign, and share forms from a single PDF platform
Edit and sign in one place
Create professional forms
Simplify data collection
Manage forms centrally




Why pdfFiller is the best tool for your documents and forms
End-to-end document management
Accessible from anywhere
Secure and compliant
Understanding the FMLA Request Form
What is the FMLA request form?
The FMLA request form is a formal document that allows employees to request leave under the Family and Medical Leave Act (FMLA). This federal law provides eligible employees with the right to take unpaid, job-protected leave for specific family and medical reasons while maintaining the right to return to their job.
Key features of the FMLA request form
The FMLA request form includes several important features designed to simplify the leave application process. Key elements typically include employee identification details, the requested dates for leave, and the specific reason for the request. It may also offer options for intermittent leave and the ability to substitute paid leave if available.
When to use the FMLA request form
Employees should use the FMLA request form when they need to take leave for qualifying reasons, such as the birth or adoption of a child, caring for a spouse, child, or parent with a serious health condition, or for their own serious health condition. It is important to submit the form as soon as possible, ideally thirty days in advance of the leave, to allow for processing.
Eligibility criteria for the FMLA request form
To be eligible for FMLA leave, an employee must work for a covered employer, have worked for that employer for at least twelve months, have at least 1,250 hours of service in the twelve months prior to the leave, and work at a location where the employer has fifty or more employees within a seventy-five-mile radius.
Best practices for accurate completion
When completing the FMLA request form, it is crucial to ensure all information is accurate and comprehensive. Employees should clearly specify the reason for the leave, include any relevant documentation, and confirm they have signed the form before submission. Keeping a copy for personal records is also recommended.
Submission methods and delivery
The completed FMLA request form should be submitted to the employer's Human Resources department or designated official. Common methods of submission include in-person delivery, email, or mailing the form, depending on the specific practices of the employer. Employees should verify the preferred method of their workplace.
Frequently Asked Questions about how to fill out an 01 form
What reasons can I use to request FMLA leave?
You can request FMLA leave for reasons including the birth or adoption of a child, care for an immediate family member with a serious health condition, or your own serious health condition.
How far in advance should I submit the FMLA request form?
It is recommended to submit the FMLA request form at least thirty days in advance when the need for leave is foreseeable.