Medtronic Family Care Leave Request Form

Select your language:

Employee ID Number *

Gender

Surname *

First name *

Date of Birth *

Month *

Day *

Private e-mail address *Format: xxxx@xxxx.xx

Employment country *

Benefit *

Leave start date *

Year *

Month *

Day *

Number of weeks *

If you are eligible, have you taken or do you plan to take any local statutory leave benefits in addition to this Family Care Leave request? *
If yes, and if your country requires it, please ensure you submit the necessary documentation to your local HR team.
If you're unsure what documentation is needed, please refer to the HR Portal for guidance.

Please only upload relevant supporting documents. No photographic evidence is required for family care leave requests.

Relevant Documentgif, jpg, jpeg, png, pdf, doc, docx, odt (< 10MB)

Comments and changesThe language of the comment other than those authorized by Medtronic will not be taken into account

I have reviewed the Global Family Care Leave eligibility rules and have notified my manager of my application.

I confirm that I have read the Swiss Risk & Care Privacy Notice .