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MILITARY FAMILY LEAVE Certification of Serious Injury or Illness of Covered Service member for Military Family Leave Family and Medical Leave Act (FMLA) INSTRUCTIONS to the EMPLOYEE: Please complete
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How to fill out military family leave certification

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How to fill out military family leave certification:

01
Obtain the necessary form: Begin by obtaining the military family leave certification form from your employer or the appropriate government agency. This form is typically available online or in a physical format.
02
Read the instructions carefully: Before starting to fill out the form, make sure to read the instructions provided. These instructions will guide you on how to accurately complete the certification and provide any specific requirements or supporting documentation needed.
03
Personal information: Fill in your personal information such as your name, contact details, employee identification number, and the dates for which you are requesting military family leave.
04
Reason for leave: Indicate the reason for your leave. Specify whether it is for military caregiver leave or qualifying exigency leave. Military caregiver leave is to care for a covered servicemember with a serious injury or illness, whereas qualifying exigency leave is for various reasons related to the military deployment of a covered servicemember.
05
Military relationship: Provide details about your relationship to the covered servicemember. This may include whether you are the spouse, parent, child, or next-of-kin.
06
Certification and documentation: Sign and date the certification to affirm the accuracy of the information provided. Depending on the specific requirements, you may need to attach supporting documentation, such as medical certification for military caregiver leave or documentation proving the covered servicemember's deployment for qualifying exigency leave.
07
Submitting the form: Once you have completed the military family leave certification, follow the instructions provided on how to submit the form. This may involve submitting it directly to your employer, a designated human resources department, or an appropriate government agency.

Who needs military family leave certification?

01
Employees who have a covered family member in the military: Military family leave certification is typically needed by employees who have a covered family member in the military and are seeking leave to care for them or to handle qualifying exigencies related to their deployment. Covered family members can include spouses, parents, children, or next-of-kin.
02
Employees seeking military caregiver leave: Military caregiver leave certification is necessary for employees who require time off to care for a covered servicemember with a serious injury or illness. This type of leave allows employees to provide support and attend to the medical needs of their injured or ill family member.
03
Employees requesting qualifying exigency leave: Qualifying exigency leave certification is required for employees seeking leave to deal with various issues related to the deployment of a covered servicemember. This may include attending deployment-related ceremonies, making childcare arrangements, handling financial and legal matters, or spending time with the covered servicemember during rest and recuperation leave.
Overall, military family leave certification is crucial for employees seeking to take advantage of the protections and benefits provided by the Family and Medical Leave Act (FMLA) or other relevant legislation ensuring job-protected leave for military-related reasons.

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