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FMLA Certification of Qualifying Exigency For Military Family Leave HR-BEN-071 Section 1 Instructions for EMPLOYEE NOTE: Remember to complete and submit an HR-BEN-028: Family and Medical Leave Act

How to fill out fmla military exigency certification

How to fill out FMLA military exigency certification:

1. Obtain the form: Start by acquiring the FMLA military exigency certification form. This form is available from your employer or can be downloaded from the U.S. Department of Labor website.
2. Provide personal information: Begin filling out the form by accurately entering your personal details, such as your name, address, phone number, and employee identification number.
3. Specify the covered family member: Indicate the name and relationship of the military member on active duty or call to active duty status, for whom you are requesting leave.
4. State the qualifying exigency: Identify the specific qualifying exigency you are requesting leave for, such as arranging for alternative childcare, attending official military ceremonies, or addressing financial or legal matters.
5. Provide supporting documentation: Attach any appropriate supporting documents to validate the qualifying exigency, such as official military orders, invitations to military ceremonies, or documentation of the service member's financial or legal matters.
6. Choose the amount of leave needed: Determine the duration of leave you are requesting, whether it is a few hours, several days, or longer, and clearly state it on the form.
7. Sign and date the certification: Ensure you have signed and dated the FMLA military exigency certification form in the designated areas. Failure to sign the form may lead to delay or denial of your leave request.

Who needs FMLA military exigency certification:

1. Employees with covered family members: FMLA military exigency certification is required for eligible employees who have a covered family member on active duty or call to active duty status with any branch of the uniformed services.
2. Those seeking FMLA leave for qualifying exigencies: Any employee who wishes to take FMLA leave for one or more of the qualifying exigencies listed under the FMLA guidelines must submit the FMLA military exigency certification.
3. Individuals requiring job-protected leave: The FMLA military exigency certification serves as evidence that an employee's requested leave falls within the protective umbrella of job-protected FMLA leave, allowing them to maintain their employment status while attending to qualifying exigencies.

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What is fmla military exigency certification?

FMLA military exigency certification is a form that allows eligible employees to take time off from work to attend to certain qualifying exigencies related to a covered military member's active duty or call to active duty status in the Armed Forces.

Who is required to file fmla military exigency certification?

Employees who wish to take FMLA leave for a military exigency must complete and file the FMLA military exigency certification form.

How to fill out fmla military exigency certification?

To fill out the FMLA military exigency certification, the employee needs to provide their personal information, details of the military member's service, the specific qualifying exigency for which leave is requested, and any supporting documentation requested by the employer.

What is the purpose of fmla military exigency certification?

The purpose of FMLA military exigency certification is to determine an employee's eligibility and entitlement to take leave for a qualifying exigency related to a covered military member's active duty or call to active duty status in the Armed Forces.

What information must be reported on fmla military exigency certification?

The FMLA military exigency certification requires the employee to report their personal information, the military member's name and relationship to the employee, the specific qualifying exigency for which leave is requested, and any relevant supporting documentation.

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