Want Help Asking for Family Paid Leave From Work?

Most working families struggle when trying to juggle personal demands without job protection or paid leave. For example, many mothers don't receive paid maternity leave and the majority of men and women can't take time off with pay to tend to eldercare needs.

"Good Morning America" has heard from many people who'd like our help to convince their bosses to offer some type of paid leave for family or medical care. Such programs might offer anywhere from two to 10 weeks of paid leave with job protection -- even at a pro-rated salary. If you're interested in working with us to approach your employer, please complete the form below.

We will read all the e-mails we receive, but due to the volume of requests we can't promise to respond to everyone. We will do our best. Thank you.


Phone Number:

City, State:

E-mail Address:

Your current employer:

How many people does your company employee:

What type of work do you do?:

How many people does your company employee:

How long have you been employed there:

Would you like Tory Johnson to contact your boss or company CEO to help you convince the company to create a paid leave benefit? If so, who would the right contact be?

What is your specific need for temporary family or medical leave? Have you approached your boss on this? Does your company have a paid leave program?

Additional comments: