FMLA

To submit an FMLA or other leave requests please use the form below.

Be sure to complete the forms completely to assist in timely return of forms.

Allow up to 10 business days from submission for forms to be completed.

A fee of $25 is assessed for each set of leave forms completed.

 

If you have questions, please contact your Case Manager or the office at (913) 677-6319.

 

General Leave guidelines:

• Sedentary Jobs(sitting/desk jobs) will allow for 2-3 weeks of leave
• Physical Jobs or those requiring lifting of 15lbs. or more will allow 4-6 weeks of leave