MN Paid Leave (MPL)Form
HR notification only. Completing this request is not approval of MPL by DEED. You must apply through the DEED website. This serves as your 30 day notification to MSA per DEED's request.
Name
First Name
Last Name
Email Address:
Predicted Start Date of Leave: (Example: 12/12/2025)
Predicted End Date of Leave: (Example: 12/12/2025)
Who is your Supervisor?
Which Leave are you requesting?
Family Leave (Birth or Bonding)
Medical Leave (Self or Dependent)
Submit
Should be Empty: