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REQUEST FAMILY OR MEDICAL LEAVE (to be completed by Department Head or designee) TO: COUNTY MANAGER Through: HUMAN RESOURCES DEPARTMENT FROM: DATE: RE: POSITION NO.: In accordance with Article VI,
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How to fill out a request - family or medical:

01
Begin by obtaining the appropriate request form, either for a family or medical issue. This can usually be obtained from your employer or human resources department.
02
Fill in your personal information accurately and completely. This includes your full name, employee identification number, contact details, and any other required information. Make sure to double-check for any spelling or typing errors.
03
Provide a detailed description of your family or medical situation. Explain the reason for the request and provide any necessary supporting documentation, such as medical certificates, appointment letters, or family-related documents.
04
Indicate the duration of the requested leave or accommodation. Specify the start and end dates and, if applicable, any intermittent leave periods.
05
Follow any specific instructions or guidelines provided on the request form. This may include additional sections to complete, signatures required, or any necessary attachments.
06
Review and proofread your request thoroughly before submitting it. Make sure all information is accurate, clear, and properly organized.

Who needs a request - family or medical:

01
Employees who require time off from work due to personal or family-related circumstances may need to submit a request for family leave. This can include situations like maternity/paternity leave, adoption, caring for a sick family member, or attending to legal matters.
02
Employees who need time off work due to their own medical condition or disability may need to submit a request for medical leave or accommodation. This can include situations like surgeries, treatment, recovery periods, or temporary or permanent disabilities.
03
It is important to check your company's policies or consult with your human resources department to determine the specific eligibility requirements and procedures for submitting a request - family or medical. Different organizations may have different forms and guidelines in place.
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Request can be for either family or medical reasons.
Employees who need time off for family or medical reasons are required to file a request.
Employees can fill out the request form provided by their employer, providing details about the reason for the request.
The purpose of the request is to allow employees to take time off work for family or medical reasons without risking their job security.
Employees must report details about the reason for their request, as well as any supporting documentation such as medical certificates.
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