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FAMILY AND MEDICAL LEAVE REQUEST FORM (FMLA) INSTRUCTIONS FOR THE EMPLOYEE Complete the form and submit to Personnel Services Benefits section (9042090636 fax) You will be notified whether the leave
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How to fill out family and medical leave

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How to fill out family and medical leave:

01
Determine eligibility: Before filling out the family and medical leave paperwork, it is important to determine if you are eligible for this type of leave. Generally, employees who have worked for their employer for at least 12 months and have worked at least 1,250 hours within the last 12 months may qualify for family and medical leave.
02
Obtain required forms: Contact your employer's Human Resources department or review the company's policies and procedures to obtain the necessary forms for family and medical leave. These forms may vary depending on your employer and the specific circumstances for which you need the leave.
03
Read and fill out the forms: Carefully read through the forms provided by your employer, which typically include a leave request form, certification forms, and any additional documentation required. Follow the instructions provided and fill out each section accurately.
04
Provide necessary documentation: Depending on the reason for your family and medical leave, you may be required to provide supporting documentation. This can include medical certificates, birth certificates, adoption papers, or any other relevant documentation necessary to support your leave request. Make sure to include all required documents with your application.
05
Submit the completed forms: Once you have filled out all the required forms and gathered the necessary documentation, submit your application to your employer's designated department. Follow any specific submission instructions that may be provided, such as emailing the forms, delivering them in person, or mailing them to the appropriate address.
06
Follow up and communicate: After submitting your family and medical leave forms, make sure to follow up with your employer to confirm that they received your application. Communicate with your employer regarding any additional information they may need or if any changes occur during the leave period.

Who needs family and medical leave:

01
Employees with serious health conditions: Individuals who have a serious health condition that impairs their ability to work may require family and medical leave. This can include illnesses, injuries, or medical treatments that require a significant amount of time off from work.
02
Employees with family responsibilities: Family and medical leave can also be utilized by employees who need to care for a newborn or newly adopted child, as well as individuals who need to care for a family member with a serious health condition. This can include caring for a child, spouse, parent, or any individual who is considered a covered family member under the Family and Medical Leave Act (FMLA).
03
Military families: Family and medical leave may also be needed by employees who have family members serving in the military. This can include situations where an employee's spouse, child, or parent is called to active duty, as well as situations that require the employee to care for a covered service member who sustained a serious injury or illness.
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Family and medical leave allows eligible employees to take unpaid leave for specific family and medical reasons.
Employers are required by law to provide family and medical leave to eligible employees.
Employees must submit a request for family and medical leave to their employer following the company's specific procedures.
The purpose of family and medical leave is to allow employees to take time off work for family or medical reasons without the risk of losing their job.
Employees may need to provide information about the reason for their leave, the expected duration of the leave, and any documentation required by the employer.
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