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Family and Medical Leave Complaint

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/149 KB)

ERD-8994 (English Print Version - pdf/25 KB)

ERD-8994-S (Spanish Print Version - pdf/34 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.