The Response to Request of FMLA Leave Form should be completed and given to the employee with the final decision. This form also states that additional information may be necessary from your health care provider before a final decision can be made. As a convenience we also offer the Employee Request for FMLA Leave Forms as well as the FMLA Health Care Provider Forms.

Product Specifications:

• This form is 8.5" x 11"
• 50 Sheets/Package