Employee Statement of Family Relationship Under the FMLA Form - Digital

Eligible employees of covered employers are entitled to up to 12 workweeks of unpaid, job-protected leave within a 12-month period under the Family and Medical Leave Act of 1993 (FMLA). Leave may be granted for specific family and medical reasons. Among the reasons specified under the FMLA is care for the employee’s spouse, son, daughter, or parent who has a serious health condition and those specified family members who are military members on covered active duty or servicemembers. Additionally, the FMLA covers in loco parentis relationships in which the employee assumes the obligations of a parent to a child, without a legal or biological connection to the child.

Our attorney-reviewed Employee Statement of Family Relationship Under the FMLA Form allows a covered employee to confirm their relationship to their family member if the employee is requesting FMLA leave to care for the family member. Under the FMLA, an employer may require an employee to provide a statement of family relationship or reasonable documentation evidencing the relationship. This form qualifies as such a document and also provides an option to include additional reasonable documentation.

Features & Benefits Include:

• A digital form to confirm an eligible employee’s relationship to their family member when they request FMLA leave to care for that family member;
• Attorney-reviewed to include options for eligible family members under the FMLA and acceptable types of reasonable documentation;
• Printable, fill-in-the-blanks digital format for physical or electronic recordkeeping;
• A detailed instruction sheet explaining how & when to use the form and how long to retain it.

Our attorney-reviewed form is designed to help employers:

• Confirm an employee’s relationship to their family member when requesting FMLA leave to care for that family member.
• Request additional reasonable documentation evidencing the employee’s relationship to their family member.

Guarantee

• If you are not completely satisfied, you can cancel your order within thirty (30) days of receipt for a full refund.