Free Leave of Absence Forms

An FMLA Request Form is a document completed by employees who are eligible for time off in compliance with the Family and Medical Leave Act provisions.

This is a notification completed by the employee and submitted to their employer after an FMLA leave - a leave requested and provided under the provisions of the Family and Medical Leave Act - is over.

This document is a notice used in Delaware to designate an employee's leave as FMLA (Family and Medical Leave Act) leave. It provides details about the employee's rights and responsibilities during the leave period.

This form is used for requesting a leave of absence from work while using funds from a Health Care Flexible Spending Account in Delaware.

This document certifies the dependent child of an employee for catastrophic leave in the state of Arkansas.

This Form is used for requesting a period of leave without pay in the state of Arkansas. It allows employees to take time off from work without receiving their regular salary for a specific duration.

This form is used for requesting retirement credit purchase for qualifying leaves without pay in Connecticut.

An employee may use this type of form when they need to spend time away from work due to special circumstances - annual leave, sickness, compensatory time off accumulated after working overtime.

An employee may use this type of template when they would like to request time off of work to take care of their personal matters.

This form is used for applying for an extension of an employee's leave of absence in New York.

This form is used for employees in South Carolina to request a leave of absence without pay.

This form is used for requesting advanced sick leave in South Carolina. It allows employees to request additional sick leave beyond what is normally available to them.

This Form is used for requesting adjustments to leave in South Carolina.

This form is used for requesting paid parental leave (PPL).

This Form is used for requesting a leave of absence from work or school in Australia.

This Form is used for verifying leave time taken by employees in the state of Minnesota.

This Form is used for requesting special leave in Louisiana.

This form is used for requesting a leave of absence for employees participating in the Health Care Flexible Spending Account (FSA) in Delaware.

This document provides a list of available leaves under the Community Transition Program in Maine.

This document is for employees in Manitoba, Canada who need to notify their employer about a long-term absence. It provides a formal way to explain the reason for the absence and any necessary details.

This form is used for obtaining a community transition daypass or leave of absence in Manitoba, Canada. It allows individuals to temporarily leave a specific facility or program.

This form is used for obtaining a Health Care Provider Certificate of Serious Health Condition in the state of Oregon. It is necessary for individuals who need to take a leave of absence from work due to their own or a family member's serious health condition.

This form is used for obtaining employer verification for an approved leave of absence in the state of Pennsylvania.

This document certifies that an employee qualifies for military family leave under the Family and Medical Leave Act. It is specific to the state of Alaska.

This form is used for applying for a leave of absence without pay in West Virginia.

This form is used for making personnel changes or updates within the City of Petaluma, California. It is for formalizing actions such as promotions, transfers, salary changes, and other personnel-related matters.

This form is used for requesting a leave of absence without pay from the City of Dallas, Texas. It allows employees to take time off from work for personal reasons or other circumstances, while not receiving their regular salary.

This form is used for applying to purchase retirement credit for a leave of absence in the Florida Retirement System Pension Plan in Florida.

This Form is used for requesting leave under the Family and Medical Leave Act (FMLA) in the City of Corpus Christi, Texas.

This document is for requesting a leave of absence from the Merit System DHR Agency in Delaware.