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University of Southern California Workers Compensation/Disability Office 3434 South Grand Avenue, CAL 120 Los Angeles, CA 90089-2814 Office: (213) 740-5875 Fax: (213) 740-7305 EMPLOYEES ENROLLED IN

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What is maternity disability request mdr?

Maternity disability request mdr is a form that pregnant employees can complete to request time off and benefits during their pregnancy and after childbirth.

Who is required to file maternity disability request mdr?

Pregnant employees who need time off and benefits during their pregnancy and after childbirth are required to file the maternity disability request mdr.

How to fill out maternity disability request mdr?

To fill out the maternity disability request mdr, employees need to provide their personal information, expected due date, medical certification from their healthcare provider, and any other required documentation as specified by their employer or the relevant authorities.

What is the purpose of maternity disability request mdr?

The purpose of the maternity disability request mdr is to document and request time off and benefits for pregnant employees during their pregnancy and after childbirth.

What information must be reported on maternity disability request mdr?

The maternity disability request mdr typically requires information such as the employee's personal details, expected due date, medical certification, and any other relevant information requested by the employer or the relevant authorities.

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