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City of Brockton PUBLIC SCHOOLS Matthew H. Malone, Ph.D. Superintendent of Schools Date: Dr. Kathleen F. Moran Interim Executive Director of Human Resources Brockton Public Schools 43 Crescent Street
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How to fill out fmla request 2011

How to fill out FMLA request 2011:
01
Obtain a copy of the FMLA request form for the year 2011 from your employer's Human Resources department.
02
Complete the personal information section of the form, including your name, address, and contact information.
03
Provide details about your employer, including the company name, address, and supervisor's name.
04
Specify the reason for your FMLA request, such as a serious medical condition, the birth or adoption of a child, or to care for a family member with a serious health condition.
05
Indicate the start and end dates of the FMLA leave you are requesting. This can be a specific time period or an estimated duration.
06
If you are requesting intermittent leave, specify the frequency and duration of the leave needed.
07
Attach any necessary supporting documentation, such as medical certification forms or birth/adoption paperwork, to validate your FMLA request.
08
Sign and date the FMLA request form.
09
Submit the completed form to your employer's designated person or department responsible for processing FMLA requests.
Who needs FMLA request 2011:
01
Employees who are dealing with a serious health condition and need time off from work for medical treatment and recovery.
02
Individuals who are expecting or have recently had a child and require time off for bonding or caring for a newborn.
03
Employees who need to care for a family member with a serious health condition and require time off to provide support and assistance.
04
Individuals who have recently adopted a child and need time off to bond with and care for the new addition to their family.
05
Workers who require time off for qualifying exigencies due to a family member's active military duty.
06
Employees who are the primary caregiver for a covered servicemember and need time off for military caregiver leave.
07
Individuals who need time off for their own or a family member's pregnancy-related medical conditions.
Note: The information provided is specific to the FMLA request process in the year 2011. It is important to check if any updates or changes have been made to the regulations since then. It is advisable to consult with your employer's Human Resources department or legal counsel for the most accurate and up-to-date information.
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What is fmla request?
FMLA request is a request for leave under the Family and Medical Leave Act.
Who is required to file fmla request?
Employees who are eligible for FMLA leave and need time off for qualifying reasons.
How to fill out fmla request?
FMLA requests can typically be filled out online through the employer's HR portal or by requesting a paper form from HR.
What is the purpose of fmla request?
The purpose of FMLA request is to allow employees to take time off for qualified medical and family reasons without risking their job.
What information must be reported on fmla request?
Information such as the reason for leave, estimated duration, and any supporting documentation may need to be reported on an FMLA request.
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