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ARKANSAS DEPARTMENT OF FINANCE AND ADMINISTRATION REQUEST FOR FAMILY AND MEDICAL LEAVE Agency/Institution Name Date (MM/DD/BY) MidSouth Community College Employee Name (Last, First, Middle) BEGIN
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The agency/institution name asumidsouth is the legal name of the organization filing the report.
Any agency or institution that meets the eligibility criteria set forth by the regulatory body.
The agency/institution name asumidsouth should be filled out accurately and completely on the designated form or online portal provided by the regulatory body.
The purpose of including the agency/institution name asumidsouth is to clearly identify the filing entity.
The agency/institution name asumidsouth must include the full legal name of the organization without any abbreviations or aliases.
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