Get the free 2015-2016 Intermittent Leave Application - hr ufl

20152016 Intermittent Leave Application Please keep this form in Department Personnel Records as documentation of leave usage. Additional information and instructions on Page 2. Employees name: RFID:

How to fill out 2015-2016 intermittent leave application

How to fill out 2015-2016 intermittent leave application:

1. Begin by downloading or obtaining a copy of the 2015-2016 intermittent leave application form. This can usually be found on your employer's website or by contacting the human resources department.
2. Start by providing your personal information, including your name, employee identification number, job title, and contact details. Make sure to double-check this information for accuracy.
3. Indicate the dates for which you require intermittent leave in the designated section. Clearly state the start and end dates, as well as the specific days or hours you will need to be absent.
4. Specify the reason for your intermittent leave request. This could include a medical condition, caregiving responsibilities, or any other eligible reason as outlined by the Family and Medical Leave Act (FMLA) guidelines.
5. If applicable, include any supporting documentation or medical certification to support your intermittent leave request. This may require a medical professional's signature or additional documentation outlining the need for intermittent leave.
6. Provide any additional details or explanations that may be necessary for your employer to understand the nature of your intermittent leave request.
7. Sign and date the application form, certifying that the information provided is accurate to the best of your knowledge.
8. Submit the completed 2015-2016 intermittent leave application to the appropriate department or individual within your organization. Make sure to follow any specific submission instructions provided by your employer.

Who needs 2015-2016 intermittent leave application:

1. Employees who anticipate requiring intermittent leave during the 2015-2016 period may need to fill out the intermittent leave application. This applies to those who work for organizations covered by the FMLA.
2. Individuals who have a medical condition or caregiving responsibilities that necessitate intermittent time off from work may need to submit the application.
3. Employees who have already taken intermittent leave in the past or who anticipate needing it in the future should complete the application to ensure proper documentation and communication with their employer.

For pdfFiller’s FAQs

What is intermittent leave application?

Intermittent leave application is a request for time off that is taken in separate blocks of time, rather than all at once.

Who is required to file intermittent leave application?

Employees who need to take time off work in separate blocks of time due to a medical condition or to care for a family member with a serious health condition are required to file intermittent leave application.

How to fill out intermittent leave application?

Intermittent leave application can typically be filled out by completing a form provided by the employer or the company's human resources department.

What is the purpose of intermittent leave application?

The purpose of intermittent leave application is to allow employees to take time off work in separate blocks of time for medical or family reasons, while still maintaining job protection.

What information must be reported on intermittent leave application?

Intermittent leave application typically requires the employee to provide information about the reason for the leave, the dates and times the leave will be taken, and any supporting documentation such as a doctor's note.

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