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ISU FMLA Medical Leave Application 2015 free printable template

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MEDICAL LEAVE FACT SHEET Family and Medical Leave Act As a faculty or staff member employed at Illinois State University, you may take up to twelve (12) weeks of paid/unpaid, job protected leave for
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ISU FMLA Medical Leave Application Form Versions

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How to fill out ISU FMLA Medical Leave Application

01
Obtain the ISU FMLA Medical Leave Application form from your department or the HR website.
02
Review the instructions and gather necessary documentation related to your leave.
03
Fill out the employee information section with your personal details.
04
Complete the section detailing the reason for your leave, ensuring it aligns with FMLA guidelines.
05
Work with your healthcare provider to fill out the medical certification section.
06
Include any additional information that may support your leave request.
07
Sign and date the application form.
08
Submit the completed application to your HR representative or department head.

Who needs ISU FMLA Medical Leave Application?

01
Employees at ISU who are experiencing a serious health condition themselves or need to care for an immediate family member with a serious health condition.
02
Employees who are expecting a child and require time off for prenatal care or childbirth.
03
Employees needing to address circumstances related to military family leave.
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The ISU FMLA Medical Leave Application is a form used by employees of Indiana State University to request leave under the Family and Medical Leave Act (FMLA) for medical reasons.
Employees of Indiana State University who need to take Medical Leave for qualifying reasons, such as their own serious health condition, a family member's serious health condition, or for the birth or adoption of a child, are required to file the application.
To fill out the ISU FMLA Medical Leave Application, employees should provide their personal information, details about the leave request including the reason for leave, and any required medical documentation as specified in the application form.
The purpose of the ISU FMLA Medical Leave Application is to formally request leave under the FMLA, ensuring that employees are granted the necessary time off for qualifying medical situations while protecting their job security.
The ISU FMLA Medical Leave Application requires information such as the employee's name, employee ID, reason for leave, duration of leave requested, and any relevant medical information to support the application.
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