Form FMLA-HR1 Employee Request for Medical Leave, Family Leave or Military Family Leave - Connecticut

Form FMLA-HR1 Employee Request for Medical Leave, Family Leave or Military Family Leave - Connecticut

What Is Form FMLA-HR1?

This is a legal form that was released by the Connecticut Department of Administrative Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2022;
  • The latest edition provided by the Connecticut Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FMLA-HR1 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Administrative Services.

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Download Form FMLA-HR1 Employee Request for Medical Leave, Family Leave or Military Family Leave - Connecticut

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