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> Staff Relations > FML <-- You are Here
REQUEST FOR FAMILY AND MEDICAL LEAVE
**FOR INTERNAL EMPLOYEE USE ONLY
UNIVERSITY OF MARYLAND, COLLEGE PARK**
The REQUEST FOR FAMILY AND MEDICAL LEAVE (FML) FORM is now available on-line. To request the form from Staff Relations, simply follow the below instructions:
IMPORTANT NOTE: This form has been created in Microsoft Word 2000 to be used as an on-line form. If you have any problems opening this document please contact the Staff Relations at (301) 405-0001 to receive a copy of the forms.
Steps to Open the On-Line FML REQUEST FORM
- Simply click on the link for the FML Request Form to open the document.
- Complete the form by either filling it out on-line or print a hard copy to complete manually. Either method will require a submission of a hard copy with original signatures.
- Be sure to attach legal/medical documentation as required when submitting the request form for approval to the supervisor and department head/chair. Link to DOL Form.
- Retain original form for your departmental records. Please forward a copy to University Human Resources, Staff Relations, 1101 Chesapeake Building.
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