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ALLIANCE COAL AND AFFILIATES REQUEST FOR FAMILY / MEDICAL LEAVE The undersigned requests a family/medical leave of absence for the period and reasons shown below. NAME: COMPANY: DEPT/LOCATION: SSN:
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How to fill out rev2011fmlareqdoc
How to fill out rev2011fmlareqdoc:
01
Begin by opening the rev2011fmlareqdoc form on your computer.
02
Fill in your personal information, such as your name, address, and contact details, in the designated fields.
03
Provide the name of your employer and their contact information in the respective sections.
04
Indicate the FMLA leave you are requesting by specifying the start and end dates.
05
Explain the reason for your FMLA leave request, providing any necessary details or documentation.
06
Sign and date the form to certify the accuracy of the information provided.
07
Submit the completed rev2011fmlareqdoc form to your employer as per their instructions.
Who needs rev2011fmlareqdoc:
01
Employees who are eligible for and wish to take leave under the Family and Medical Leave Act (FMLA).
02
Individuals who require time off from work due to their own serious health condition or that of a family member.
03
Employees seeking time off for the birth, adoption, or foster care placement of a child, or to care for a newborn or newly placed child.
04
Those who need to care for a family member with a serious health condition.
05
Individuals who have a qualifying exigency due to a family member's active military duty.
It is important to note that the specific eligibility requirements for FMLA leave may vary depending on jurisdiction and the policies of individual employers. It is advisable to consult your company's HR department or refer to the FMLA guidelines to determine if rev2011fmlareqdoc is applicable to your situation.
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