FMLA Military Certification (Exigency) - ComplyRight

Form Template

Use this attorney-developed form when an employee requests time off for a qualifying exigency because a family member is on covered active duty or has been called to covered active duty in the Armed Forces.

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Updated to comply with the most recent FMLA regulations effective March 8, 2013

FMLA Certifications are used to verify an employee’s need for FMLA leave and the existence of an FMLA-qualifying event. They help you gather the information you need to either grant or deny FMLA leave, without violating an employee’s privacy rights or overstepping legal boundaries. In each scenario, give your employee the blank certification form within five business days after learning about his or her need for leave, and allow the employee at least 15 days to return it. Click here for a free tip sheet that includes information on completing certifications, relevant FMLA definitions, helpful do’s and don’ts and other useful information.

Need printed FMLA Forms? Visit G.Neil for a printed version of the FMLA Military Certification (Exigency) Form.

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