The following page contains a personal leave-eligibility summary, which may include details about your health, family situation, or employer. If you printed this at a shared or public printer, please remove all pages promptly.
This report is an estimate only and is not legal advice. It does not guarantee leave approval — final eligibility relies on medical certification and employer verification.
Select your primary work state. Leave laws are generally based on where you perform your work, not where your company is headquartered.
If you are a full-time employee and have worked for at least a year, you can safely assume you meet the 1,250 hour minimum. Alternatively, many internal employee portals and pay stubs document your exact hours.
Include all employees within a 75-mile radius of your worksite. If you are unsure, total company headcount can often be found with a quick Google search or on your company's LinkedIn page.
Based on your inputs, you may be eligible for the following protections. Please supply this summary to Human Resources alongside your medical certification.
Secure your documentation first. Whenever possible, we recommend obtaining your official medical certification from your healthcare provider prior to formally requesting leave from HR. Having your paperwork already in hand establishes a protected timeline, ensuring your statutory rights are anchored from your very first conversation.