A template for federal employees covered under Title II of the Family and Medical Leave Act (FMLA) to complete before using paid parental leave (PPL) agreeing to work for the employee's agency for 12 weeks after the PPL concludes. The agreement also identifies that failure to complete the 12-week work obligation may result in the agency requiring reimbursement equal to the total amount of any government contributions paid by an agency on the employee's behalf to maintain health insurance coverage under the Federal Employees Health Benefits Program (FEHB) Program. This Standard Document applies to federal agency workplaces. It is based on federal law. This Standard Document has integrated notes with important explanations and drafting tips.