EZ Request Form

Available from

Welcome to &
America’s #1 Providers of FMLA Leave Requests!

Below are a few important details and highlights of and
--Free Service for Employees and’s service is FREE/no charge to employees of participating employers. Employees are not charged to make a request.

--Easy & Simple
Using and is easy and simple using the EZ Request Online Form, available online.

--Experienced & Local
Your Leave Request(s) is assigned to a trained, experienced, and local HR experienced representative based out of Southeastern Wisconsin, USA.

Your Leave Request is confidential and only shared with your employer’s assigned representative (typically your HR manager/rep) your health care provider, and our trained staff.

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