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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/171 KB)
ERD-8994 (English Print Version - pdf/19 KB)
ERD-8994-S (Spanish Print Version - pdf/27 KB)
***Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page. Links to each specific vendor's site have been provided for you. Thank you.