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Get the free NALC Form 1 - Family and Medical Leave Act

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Este formulario debe ser completado por el proveedor de salud del empleado para ayudar al empleador a tomar una determinación bajo la Ley de Licencia Médica Familiar (FMLA) cuando se solicita una
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How to fill out NALC Form 1 - Family and Medical Leave Act

01
Obtain NALC Form 1 from the NALC website or your local NALC branch.
02
Fill out the employee's name and contact information in the designated fields.
03
Indicate the reason for the leave by checking the appropriate box (e.g., personal medical leave, family medical leave).
04
Provide the dates for which the leave is being requested, including the start and end dates.
05
Include any relevant medical documentation that supports the leave request, if required.
06
Sign and date the form at the bottom.
07
Submit the completed form to your supervisor or the designated HR representative.

Who needs NALC Form 1 - Family and Medical Leave Act?

01
NALC Form 1 is needed by any NALC member who is requesting leave under the Family and Medical Leave Act due to personal or family health issues.
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NALC Form 1 is a document used by employees to request Leave under the Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid, job-protected leave for specified family and medical reasons.
Employees of the National Association of Letter Carriers (NALC) who meet the eligibility requirements under the FMLA are required to file NALC Form 1 when they wish to request leave for family or medical reasons.
To fill out NALC Form 1, employees must provide personal information, the reason for the leave, the expected duration of the leave, and any relevant medical documentation if applicable. It's essential to sign and date the form before submission.
The purpose of NALC Form 1 is to formally request leave under the FMLA, ensuring that the employer is notified about the employee's need for leave due to family or medical issues, and to protect the employee's job during their absence.
The information required on NALC Form 1 includes the employee's name, job title, the reason for the leave (such as a serious health condition or family care), the dates of the requested leave, and a certification from a healthcare provider if necessary.
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