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FMLA Violation Information

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If you believe your FMLA rights were violated as described in MEC Grievance #36-99-2-176-25, please complete this form.
Your report will assist AFA in protecting Flight Attendants’ rights under the Family and Medical Leave Act (FMLA) and our Collective Bargaining Agreement.
All information submitted will remain confidential and used only for Union and legal review purposes.

(The date you notified Crew Scheduling, Leave Administration, or Benefits that you were using FMLA)
(For example, the following day or leg coded as FMLA that you did not request)
Result
(Briefly explain what occurred — include whether you attempted to return to your trip, how you were notified of the denial or coding, and who you spoke with.)