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This document is used to certify a qualifying exigency for leave under the Family and Medical Leave Act (FMLA) due to a military family member's active duty or call to duty status. It requires information
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How to fill out certification of qualifying exigency

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How to fill out CERTIFICATION OF QUALIFYING EXIGENCY FOR MILITARY

01
Obtain the 'Certification of Qualifying Exigency for Military Leave' form from your employer or the U.S. Department of Labor.
02
Fill in your personal information at the top of the form, including your name, address, and contact details.
03
Provide information about your eligible family member who is in the military, including their relation to you, their military branch, and deployment details.
04
Clearly describe the specific qualifying exigency that requires your leave, ensuring it meets the criteria outlined by FMLA.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to your employer's HR department as instructed.

Who needs CERTIFICATION OF QUALIFYING EXIGENCY FOR MILITARY?

01
Employees who have a family member in the military and need to take leave due to qualifying exigencies related to their family member's military service.
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Qualifying exigency leave – leave for certain reasons related to a family member's foreign deployment, and. Military caregiver leave – leave when a family member is a current servicemember or recent veteran with a serious injury or illness.
The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year.
An eligible employee may take all 12 weeks of his or her FMLA leave entitlement as qualifying exigency leave or the employee may take a combination of 12 weeks of leave for both qualifying exigency leave and leave for a serious health condition.
Generally, the types of events that trigger FMLA protection include: The arrival of a new child in the family — whether by birth, adoption, or foster care. The care of a family member with a serious health condition.
“Qualifying exigency” leave allows eligible employees to take CTFMLA leave to attend to a broad list of common issues that arise when a covered servicemember is deployed, such as leave to address short-notice deployment, military events and related activities, childcare and school activities, financial and legal
“Qualifying exigency” leave allows eligible employees to take CTFMLA leave to attend to a broad list of common issues that arise when a covered servicemember is deployed, such as leave to address short-notice deployment, military events and related activities, childcare and school activities, financial and legal
A “qualifying exigency” includes: (1) short notice deployment (limited to seven calendar days from date notified of deployment); (2) attending military events and related activities; (3) childcare and school-related activities arising from the military member's covered active duty; (4) financial and legal arrangements
Paid Family Leave (PFL) provides benefit payments to workers who need time off work to participate in a qualifying event because of a family member's military deployment to a foreign country.

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The Certfication of Qualifying Exigency for Military is a form used by employees to request leave under the Family and Medical Leave Act (FMLA) due to a qualifying exigency arising from a spouse, child, or parent being called to active duty in the Armed Forces.
Employees who are eligible for FMLA leave and need to take leave for a qualifying exigency related to a family member called to active duty are required to file the Certification of Qualifying Exigency for Military.
To fill out the Certification of Qualifying Exigency for Military, employees must provide personal information regarding themselves and the service member, specify the nature of the exigency, and include the duration of the leave needed. Specific sections of the form must be completed by both the employee and a healthcare provider or military representative if applicable.
The purpose of the Certification of Qualifying Exigency for Military is to document the need for leave under FMLA due to qualifying exigencies resulting from a family member's military service, ensuring that employees can take the necessary time off while maintaining their job protection rights.
The information that must be reported includes the employee's name, the relationship to the service member, the specific qualifying exigency, details regarding the active duty or call to active duty, and the expected duration of the leave. Additional information may be required based on the exigency type.
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