FINAL RELEASE OF CLAIMS
FMLA Type Frequency per Certification Duration # Times p/wk # Times p/month In Section A: Enter all time used for paid or unpaid FMLA leave for their current FMLA event. In Section B: Allows for tracking of time used under the "rolling calendar year" or 12 month period measured backwards from the date employee begins to use any FMLA leave. ................
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