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Human Resources 25800 Carlos Bee Blvd., SA 2600, Hayward, CA 94542 Family and Medical Leave (FM) Notice and Request Form Notice to the Employee: If the leave you are requesting meets federal and state
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How to fill out FML notice request form0713:

01
Start by gathering all the necessary information required to complete the form, such as your personal details, contact information, and employment details.
02
Read the instructions carefully to understand the purpose and requirements of the FML notice request form0713.
03
Begin by filling out the top section of the form, providing your full name, the date, and your contact information.
04
Proceed to the next section, where you will need to provide the name of your employer and their contact information.
05
Fill in your job position or title, along with the department or division you work in.
06
Indicate the start and end date of the FML leave you are requesting, ensuring that you comply with the eligibility criteria set forth by the Family and Medical Leave (FML) Act.
07
Specify the reason for your FML leave request, whether it is for your own serious health condition, the care of a family member with a serious health condition, or for the birth, adoption, or foster care of a child.
08
If applicable, provide additional details about your condition or circumstances in the space provided.
09
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
10
Keep a copy of the completed FML notice request form0713 for your records and submit it to your employer according to their established procedures.

Who needs FML notice request form0713:

01
Employees who wish to request Family and Medical Leave (FML) for their own serious health condition, the care of a family member with a serious health condition, or for the birth, adoption, or foster care of a child.
02
Individuals who are covered by the Family and Medical Leave (FML) Act and meet the eligibility criteria outlined in the act.
03
Employees who work for employers with 50 or more employees and have been employed for at least 12 months, and have worked at least 1,250 hours during the previous 12 months.
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FML Notice Request Form0713 is a form used to request leave under the Family and Medical Leave Act.
Employees who are eligible for leave under the Family and Medical Leave Act are required to file FML Notice Request Form0713.
FML Notice Request Form0713 should be filled out by providing relevant personal and medical information as well as the reason for requesting leave.
The purpose of FML Notice Request Form0713 is to notify employers of an employee's need for leave under the Family and Medical Leave Act.
Information such as the employee's personal details, the type of leave being requested, and the expected duration of the leave must be reported on FML Notice Request Form0713.
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