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Family and Medical Leave Act Request Form

Family and Medical Leave Act Request Form

www.mymta.info

Jan 28, 2020 · The purpose of this form is to request a leave of absence under the Family and Medical Leave Act (FMLA). DO NOT COMPLETE THIS FORM IF YOU HAVE APPLIED ONLINE TO APPLY ONLINE: 1) Sign on to My MTA Portal – www.mymta.info 2) Click the My Benefits Ribbon 3) Click the FMLA Request Link

  Form, Medical, Family, Request, Leave, Family and medical leave act, Fmla, Family and medical leave act request form, Fmla request

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