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Family Medical Leave Application Process

County employees can submit and manage requests for leave under the Family and Medical Leave Act of 1993 (FMLA) through Employee Self-Service (ESS). Employees can submit FMLA leave requests, check the status of pending requests, submit medical certifications and other applicable paperwork online, from any computer with internet access.

Please refer to the "How to Submit FMLA Requests Using Employee Self-Service" user guide for step-by-step instructions, click on link below.

If submitting a hard copy, the FMLA forms can be found by clicking on the link below labeled "FMLA Employee Packet".

All forms and information must be submitted within 15 days of request or a FMLA qualifying event. If the employee has further questions, please call the FMLA Helpdesk at 240.777.5137, email fmla.information@montgomerycountymd.gov or click on the link below.

Find more information from the following link(s):
To speak with a Customer Service Representative, please call 311 during business hours.

Last Updated: 02/02/2023 09:48:40