Family and Medical Leave Complaint

Document Number:  ERD-8994-E

Description:  This form should be used to file a Family and Medical Leave Act complaint.

Content Contact:  Equal Rights Information

Document Attachments:

ERD-8994-E (English Electronic Version - Word/173 KB)

ERD-8994 (English Print Version - pdf/186 KB)

ERD-8994-S (Spanish Print Version - pdf/232 KB)

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