Occur. #
Hire Date: | mm/dd/yyyy | |
Hours Worked: | hhhh : mm | |
Remaining FMLA Hours: | hhh | |
Undesignated: | hh : mm |
Has worked 12 months? | ||
---|---|---|
Hire Date: | mm/dd/yyyy | |
Years Employeed: | # | |
Has worked 1250 hours? | ||
Hours Worked: | hhhh : mm | |
Has available FMLA hours? | ||
FMLA Used: | hhh : mm/480 |
Request 020 Notes
[Login Name] on [date/time]: May have 2 episodes per month lasting 1 day per episode. May have 2 episodes per month lasting 1 day per episode.
Request 019 Notes
[Login Name] on [date/time]: [Populate submitted notes here.]
Request 019 Notes
[Login Name] on [date/time]: [Populate submitted notes here.]