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)

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** 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.

Email DWD DWD Photo Gallery DWD on Twitter DWD on Facebook DWD on YouTube DWD on LinkedIn DWD RSS Feed

A proud partner of the network