Utah Family and Medical Leave Form

Family and Medical Leave Form for use in Utah.

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This form is to be used to comply with the Federal Family and Medical Leave Act which requires that eligible employees be entitled to up to 12 weeks of unpaid and job-protected leave for certain family and medical reasons.

This form is for use in Utah.

Among others, this form includes the following provisions:
Eligibility
Reasons for requested leave
Number of Pages3
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#26448

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