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leave slip · U.S. Department of Labor · 2026-10-04

Check the Three FMLA Eligibility Tests

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Example result. Replace the sample figures with your own.

Example result

The three tests are met. The leave length on this entry is 12 workweeks.

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Covered employer, 12 months, 1,250 hours, and 50 employees within 75 miles are all met.

If the reason qualifies, the federal length is 12 workweeks. The leave is unpaid unless the employer pays it.

What would change this

Months, hours, the worksite count, employer coverage, or military caregiver leave changes the result.

Next step

State law may give more leave. Airline flight crews and some school employees have special rules this tool does not apply.

Re-count the hours in the 12 months before the leave would start.

This tool gives general information. It is not legal advice. Laws differ by state and change. Check the result with a licensed attorney or a legal aid office before you act.

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Data as of 2026-10-04. Source: U.S. Department of Labor — Family and Medical Leave Act.

What this does not cover

This tool gives general information. It is not legal advice. Laws differ by state and change. Check the result with a licensed attorney or a legal aid office before you act.

Re-count the hours in the 12 months before the leave would start.