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Get the free Family and Medical Leave Accommodation Form for Faculty - lehigh

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This form is designed for faculty members to request accommodations related to Family and Medical Leave, including details on leave type, anticipated absence, and tenure-clock extensions.
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How to fill out Family and Medical Leave Accommodation Form for Faculty

01
Obtain the Family and Medical Leave Accommodation Form for Faculty from the appropriate office or online portal.
02
Read the instructions carefully to understand the requirements and necessary documentation.
03
Fill in your personal information, including your name, faculty position, and contact details.
04
Specify the reason for the leave, choosing from options such as medical condition, family care, or personal health.
05
Indicate the expected duration of the leave and any relevant dates.
06
Attach any required medical documentation or information as specified in the instructions.
07
Review the completed form to ensure all sections are filled out accurately.
08
Submit the form to the designated office or human resources department by the specified deadline.

Who needs Family and Medical Leave Accommodation Form for Faculty?

01
Faculty members who are experiencing a serious health condition, need to care for a family member with a health condition, or require time off for other qualifying family and medical reasons.
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The Family and Medical Leave Accommodation Form for Faculty is a document used by faculty members to request leave for family or medical reasons as outlined by the Family and Medical Leave Act (FMLA).
Faculty members who need to take leave for qualifying family or medical reasons under the FMLA are required to file the Family and Medical Leave Accommodation Form.
To fill out the form, faculty members should provide their personal information, the nature of the leave requested, the duration of the leave, and any supporting medical documentation if applicable.
The purpose of the form is to formally request leave for family or medical reasons and to document the faculty member's eligibility for such leave under the FMLA.
The form must include the faculty member's name, contact information, type of leave requested, reason for the leave, anticipated start and end dates, and any necessary medical documentation.
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