[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-181527-105":59,"doc-detail-181527-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","thr-leave-of-absence-request-form","THR-Leave-of-Absence-Request-Form","","This document is a Leave of Absence Request Form, likely for employment purposes. It standardizes the process for employees to formally request periods of absence from work. The form captures essential employee and employer information, including names, contact details, hire dates, and manager information. It requires specific details about the leave, such as the last day worked, anticipated start and return dates, and crucially, the reason for the leave. The form categorizes leave reasons into Maternity/Pregnancy, Birth/Bonding, Adoption/Foster Care, Care of a Covered Family Member (Spouse, Domestic Partner, Parent, Child), Military Leave (Active Duty/Training or Qualifying Exigency), Personal Medical, Non-Medical, Work Site Injury, or Other. It also addresses the schedule for the requested leave, differentiating between Continuous Leave and Intermittent or Reduced Schedule Leave, noting that the latter may be approved if required by law, permitted by company policy, or medically necessary. A section for other details reminds employees of their responsibility to pay benefit premiums during continuous leave. The form includes an internal section for FMLA eligibility verification, checking for 12 months of continuous employment and 1,250 hours worked.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":57,"@type":76,"position":81},"https://docshare.wps.com/document/general/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/thr-leave-of-absence-request-form/181527/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/thr-leave-of-absence-request-form/181527.png","ImageObject",300,407,{"name":92,"@type":93},"Oliver Hayes","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-02",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information is required for an employee requesting a leave of absence?","Question",{"text":113,"@type":114},"The form requires employee identification details like name, phone, email, and hire date, along with manager information. It also needs specific leave dates, the reason for the leave, and the schedule type (continuous or intermittent).","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the different reasons for requesting a leave of absence as listed on the form?",{"text":118,"@type":114},"Reasons include Maternity/Pregnancy, Birth/Bonding, Adoption/Foster Care, Care of a Covered Family Member, Military Leave, Personal Medical/Non-Medical, Work Site Injury, or Other reasons.",{"name":120,"@type":111,"acceptedAnswer":121},"What responsibilities does an employee have regarding benefit premiums during a continuous leave of absence?",{"text":122,"@type":114},"Employees are responsible for paying their regularly scheduled benefit premiums while on a continuous leave of absence.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},181527,1788345031,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":56,"category_name":57,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":81},687207020761,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","| Employee Identification | Employee Name: | Original Hire Date: | Date Completed: |\n| --- | --- | --- | --- |\n|  | Employee Phone: | Employee Email: | Employer/Company: |\n|  | Manager Name: | Manager Phone: | Manager Email: |\n| Leave Dates | Last Day Worked: | Anticipated Leave Start Date: | Anticipated Return to Work Date: |\n| Reason for\u003Cbr>Requested Leave | Maternity/Pregnancy related\u003Cbr>Birth of child/bonding – Date of (or anticipated date of) birth: Adoption/foster care (attach copy of placement paperwork)\u003Cbr>Care of covered family member who has qualifying serious health condition Check one: Spouse Domestic partner Parent Child Military Leave Check one: Active duty/training (Attach a copy of official military orders.)\u003Cbr>Qualifying exigency\u003Cbr>Relationship to employee:\u003Cbr>Details:\u003Cbr>Personal\u003Cbr>Check one: Medical Non-Medical Work Site Injury Other: |  |  |\n| Schedule for Requested Leave | Continuous Leave\u003Cbr>Intermittent or Reduced Schedule Leave\u003Cbr>Intermittent or reduced leave may be approved where required by state or federal law, where permitted by company policy, or where medically necessary and the need for such leave is best accommodated through scheduling. |  |  |\n| Other Details | It is the employee’s responsibility to pay their regularly scheduled benefit premiums while on a continuous leave of absence. |  |  |\n| For Internal Use Only | FMLA Eligibility\u003Cbr>12 months of continuous employment\u003Cbr>1,250 hours worked\u003Cbr>Notes: |  |  |","cbCaiaeWDictokUj","https://ap.wps.com/l/cbCaiaeWDictokUj","pdf",89004,"English","# Employee Identification\n## Employee Name\n## Original Hire Date\n## Date Completed\n## Employee Phone\n## Employee Email\n## Employer/Company\n## Manager Name\n## Manager Phone\n## Manager Email\n# Leave Dates\n## Last Day Worked\n## Anticipated Leave Start Date\n## Anticipated Return to Work Date\n# Reason for Requested Leave\n## Maternity/Pregnancy related\n## Birth of child/bonding\n## Adoption/foster care\n## Care of covered family member\n## Military Leave\n## Personal\n# Schedule for Requested Leave\n## Continuous Leave\n## Intermittent or Reduced Schedule Leave\n# Other Details\n# For Internal Use Only\n## FMLA Eligibility","[{\"question\":\"What information is required for an employee requesting a leave of absence?\",\"answer\":\"The form requires employee identification details like name, phone, email, and hire date, along with manager information. It also needs specific leave dates, the reason for the leave, and the schedule type (continuous or intermittent).\"},{\"question\":\"What are the different reasons for requesting a leave of absence as listed on the form?\",\"answer\":\"Reasons include Maternity/Pregnancy, Birth/Bonding, Adoption/Foster Care, Care of a Covered Family Member, Military Leave, Personal Medical/Non-Medical, Work Site Injury, or Other reasons.\"},{\"question\":\"What responsibilities does an employee have regarding benefit premiums during a continuous leave of absence?\",\"answer\":\"Employees are responsible for paying their regularly scheduled benefit premiums while on a continuous leave of absence.\"}]","THR-Leave-of-Absence-Request-Form | PDF"]