[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-306706-105":53,"doc-detail-306706-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","fmla-application-2016","FMLA Application - 2016","","This document serves as an official application form for employees requesting leave under the Family and Medical Leave Act (FMLA). The form collects essential information, including employee identification, contact details, and departmental affiliation. It requires the applicant to specify the reason for the leave—whether for personal medical needs or family caregiving—and to indicate the nature of the requested absence, such as continuous or intermittent leave. Furthermore, the form mandates formal coordination between the employee, their supervisor, and the department head or dean to ensure that the proposed work schedule is reviewed for potential business impacts. Signature fields for all parties, including sections reserved for Human Resources oversight, ensure proper documentation and approval workflow for compliant leave management within an organizational setting.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/fmla-application-2016/306706/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/fmla-application-2016/306706.png","ImageObject",442,249,{"name":88,"@type":89},"Quinn Holloway","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":35},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What types of FMLA leave can an employee request using this form?","Question",{"text":108,"@type":109},"Employees can request either continuous leave or intermittent leave depending on their specific circumstances.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Who is required to sign the FMLA request form?",{"text":113,"@type":109},"The request must be signed by the employee, their supervisor, and the department head or dean to ensure proper authorization.",{"name":115,"@type":106,"acceptedAnswer":116},"What happens if an intermittent leave request is deemed disruptive to business operations?",{"text":117,"@type":109},"If the requested intermittent leave causes hardship or disrupts daily operations, the employer may grant continuous leave in its place.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},306706,1790716476,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":35,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},2336474466712,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","UIN:   \nEmployee Name:   Dept.:   \nFaculty or Staff:  Full time/ Part time:   \nEmployee Contact information: Supervisor:   \nEmail  Department Head/Dean:   \nPhone   \nMailing address   \nReason for FMLA request: mark one  \nFor Employee use:    \nFor Employee’s family member   \nIndicate relation:   spouse   child   parent   other Is request pre-planned 30 days or more prior to FMLA event? Yes No  \nFMLA Request:  \nEstimated time period:  Continuous leave: Yes No  \nIntermittent leave: Yes No Proposed work schedule discussed with supervisor:   \n* Please note, for intermittent leave request, your proposed schedule will need to be signed by you, supervisor and department head/Dean and a copy be attached to this request.  \n**Please note, for intermittent leave request; if it is determined that intermittent leave would cause a hardship, or disruption to daily business operations, continuous leave may be granted in lieu of intermittent leave.  \n\n| Employee Signature | Date |\n| --- | --- |\n\nSupervisor Signature  \nDate  \nFor Supervisor:  \nEmployee/Supervisor conference: Yes No Transition of duties/reassign work: Yes No  \nWork schedule arrangement: Yes No  \nFor HR use:  \nDOH:  Notes:   \nHours worked:","cbCaidNkVNuuRY13","https://ap.wps.com/l/cbCaidNkVNuuRY13","pdf",276236,"English","# Employee Information\n## Contact and Departmental Details\n# Leave Request Details\n## Reason for Leave\n## Schedule and Type of Leave\n# Authorization and Administrative Use\n## Signatures\n## HR and Supervisor Review","[{\"question\":\"What types of FMLA leave can an employee request using this form?\",\"answer\":\"Employees can request either continuous leave or intermittent leave depending on their specific circumstances.\"},{\"question\":\"Who is required to sign the FMLA request form?\",\"answer\":\"The request must be signed by the employee, their supervisor, and the department head or dean to ensure proper authorization.\"},{\"question\":\"What happens if an intermittent leave request is deemed disruptive to business operations?\",\"answer\":\"If the requested intermittent leave causes hardship or disrupts daily operations, the employer may grant continuous leave in its place.\"}]","FMLA Application - 2016 | PDF",1789840222]