Get the free Request/Certification of Leave - uakron

This form is used by employees of the University of Akron to request and certify for various types of leave, including vacation and sick leave, as well as professional travel. It outlines the required

How to fill out requestcertification of leave

How to fill out Request/Certification of Leave

1. Begin by obtaining the Request/Certification of Leave form from your employer or HR department.
2. Read all instructions carefully before filling out the form.
3. Fill in your personal information at the top of the form, including your name, employee ID, and contact information.
4. Indicate the type of leave you are requesting (e.g., medical, personal, maternity, etc.).
5. Specify the start and end dates of your requested leave.
6. Provide any necessary details regarding your leave request, such as reason for leave or medical certification if required.
7. If applicable, have your supervisor or a relevant party sign the form.
8. Submit the completed form to your HR department or the designated leave coordinator.
9. Keep a copy for your records until your leave is approved.

Who needs Request/Certification of Leave?

1. Employees who require time off for medical issues, personal matters, or other reasons need to submit a Request/Certification of Leave.
2. Anyone seeking to formally document their absence or request leave under company policy.
3. Employees who are pregnant or needing family leave may also need to fill out this form.

People Also Ask about

What is a leave certification form?

Certification Forms Certification is an optional tool provided by the FMLA for employers to use to request information to support certain FMLA-qualifying reasons for leave.

Can an employer approve FMLA without certification?

If an employee does not provide either a complete and sufficient certification or an authorization allowing the health care provider to provide a complete and sufficient certification to the employer, the employee's request for FMLA leave may be denied.

What does certified leave mean?

CERTIFIED LEAVE OF ABSENCE means any absence of any Employee from active service of the Company and all Affiliated Employers which is not treated as a Termination of Employment. In granting a Certified Leave of Absence, all Employees in similar circumstances will be treated alike.

What is a certification form for FMLA?

Certification forms. The FMLA does not require the use of any specific certification form. The Department has developed optional forms that can be used for leave for an employee's own serious health condition (WH-380-E) or to care for a family member's serious health condition (WH-380-F).

When can an employer request FMLA recertification?

For conditions that are certified as having a minimum duration of more than 30 days, the employer must wait to request a recertification until the specified period has passed, except that in all cases the employer may request recertification every six months in connection with an absence by the employee.

Can an employer designate FMLA leave without certification?

If an employee has not returned complete and adequate medical certification within 15 days, you are able to deny FMLA leave in ance with your company attendance policy, by treating the absence(s) as unexcused. The second option is to designate the absence as FMLA leave without medical documentation.

What to write on FMLA paperwork for family members?

You'll need to know: Their name and relationship to you. The type of care you're providing and how much time off you need.

Who fills out a leave of absence form?

As an owner of a business, you must set forth an application process wherein any employees can fill out the leave of absence form and request their leave.

For pdfFiller’s FAQs

What is Request/Certification of Leave?

A Request/Certification of Leave is a formal document submitted by an employee to request time off from work for various reasons, such as personal health issues, family emergencies, or other personal needs.

Who is required to file Request/Certification of Leave?

Any employee who wishes to take a leave of absence from work, whether it is for a short period or an extended duration, is required to file a Request/Certification of Leave.

How to fill out Request/Certification of Leave?

To fill out a Request/Certification of Leave, an employee should provide their personal information, specify the type of leave being requested, outline the dates of the leave, include any necessary supporting documentation, and sign the form to certify its accuracy.

What is the purpose of Request/Certification of Leave?

The purpose of Request/Certification of Leave is to formally communicate to the employer the employee's intention to take time off, ensuring that there is proper documentation to support the absence and facilitate workflow planning.

What information must be reported on Request/Certification of Leave?

The information that must be reported on a Request/Certification of Leave includes the employee's name, job title, dates of requested leave, reason for the leave, any applicable medical or legal documentation, and the employee's signature.