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Please thoroughly complete the Request Form. Required fields are marked with a *.

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Please select the most applicable action from the drop-down menu in the Subject line. If you have multiple requests, regarding different actions, please submit separate Request Forms for each.

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Please be sure to include additional POCs on all requests. This may be other team members, your supervisor, an org box, etc.
Note: this is required for requests from FSS, and recommended for external requests.

Multiple POCs allows us to communicate and complete projects in a more timely manner, in the event someone is out or unable to access their email.

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Family Medical Leave Act

The FMLA process is initiated by the employee and approved by the supervisor.

Please see the attached forms that would need to be filled out for FMLA.

 

Fact Sheet 28 and 28g – which provides information on the Family and Medical Leave Act & medical certifications 
WH-381, which delineates the process for submitting the FMLA request
WH-380F – Medical Certification for Family Member 
OPM 71 – To be provided by the employee along with WH380F
WH-382 – Designation Notice – to issue after approval/disapproval or request for additional information
 

You may review the links below for further clarification.

 

AFI 36-815 – Leave: Section 15 on Page 57 provides the Air Force Guidance on FMLA: 
Link: https://static.e-publishing.af.mil/production/1/af_a1/publication/dodi1400.25v630_afi36-815/dodi1400.25.v630_afi36-815.pdf

Department of Labor for information FMLA: 
Link: https://www.dol.gov/agencies/whd/fmla

Article details

Article ID:
17
Date added:
September 10th, 2026, 10:32 pm
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