|
View ESA-WHD's Form 1215-0181 Online 
| Agency: |
ESA-WHD |
| Title: |
Family and Medical Leave Act of 1993 (Employer Response to Employee Request for Family or Medical Leave) |
| Form Description: |
The Employer Response to Employee Request for Family and Medical Leave may be used by an employer covered by the Family and Medical Leave Act (FMLA) to satisfy its obligation (whether or not it chooses to use the form) to provide written notification detailing the employer’s specific expectations and obligations of an employee taking FMLA protected leave. |
| OMB Control Number: |
1215-0181 |
| OMB Expiration Date: |
Thursday, September 30, 2010
|
| |
|
