FMLA Adoption Forms

(a) General rules. Eligible employees are entitled to FMLA leave for placement with the employee of a son or daughter for adoption or foster care as follows: (1) Employees may take FMLA leave before the actual placement or adoption of a child if an absence from work is required for the placement for adoption or foster care to proceed. For example, the employee may be required …

The FMLA defines a “son or daughter” as a biological, adopted, or foster child, a stepchild, a legal ward, or a child of a person standing in loco parentis. See 29 USC 2611(12) . The broad definition of “son or daughter” is intended to reflect the reality that many children in the United States live with a parent other than their biological father and mother.

The Family and Medical Leave Act (FMLA) is a federal law that entitles an eligible employee with a qualifying leave event to job protected leave of up to 12 or 26 work weeks. An initial request for "FMLA leave" or a request for leave that may qualify for FMLA protections (see QUALIFYING LEAVE EVENTS) should be reported to your agency’s …

The placement with the employee of a child for adoption or foster care and to bond with the newly placed child within one year of placement. FMLA leave may be taken before the actual placement or adoption of a child if an absence from work is required for the placement for adoption or foster care to proceed. For example, the employee may be entitled to FMLA leave to attend …

Attached are two forms: (1) FMLA Paperwork Instructions for Adoption and (2) FMLA UHCL Request Form. Please complete the Family and Medical Leave Request Form and provide the additional information/documents required. All forms/documents must be returned to the Office of Human Resources within 15 days from the date provided, or 30 days prior to the …

After the completed Request for Family/Medical Leave under the FMLAform has been received and reviewed, complete the Notice of Eligibility and Rights & Responsibilities (Family and Medical Leave Act)WH-381 form and the Designation Notice (Family and Medical Leave Act)WH-382 form, and give to the employee via hand delivery or certified mail.

FORM PFL-1 Form PFL-1 has sections that need to be completed by you and by your employer. Fill out your section. Make a copy and give the form to your employer. Your employer is required to return Form PFL-1 to you within three business days.