Get the free Certification of Qualifying Exigency - Grand Valley State University - gvsu

Certification of Qualifying Exigency For Military Family Leave (Family and Medical Leave Act) U.S. Department of Labor Wage and Hour Division OMB Control Number: 12350003 Expires: 5×31/2018 SECTION

How to fill out certification of qualifying exigency

How to fill out certification of qualifying exigency:

1. Obtain the certification form: The certification of qualifying exigency form is typically provided by your employer or human resources department. If not, you can request it from your employer or find it online on official government websites.
2. Fill in the personal information: Start by providing your full name, employee identification number or social security number, job title, and department or division you work in. Make sure to double-check the accuracy of this information.
3. Specify the qualifying exigency: In this section, you will need to identify the type of qualifying exigency you are certifying. This may include activities such as attending military events or ceremonies, child care arrangements, financial or legal matters, or other specific circumstances outlined in your company's policies or according to the regulations of the Family and Medical Leave Act (FMLA).
4. Provide dates and details: For each qualifying exigency identified, indicate the dates on which the event or circumstance occurred or will occur. Provide a brief description of the exigency, including any relevant details or documentation required.
5. Attach supporting documents: Depending on your employer's policies or FMLA regulations, you may be required to include supporting documentation along with your certification. These may include event invitations, tickets, legal documents, or other evidence that confirms your need for leave related to the qualifying exigency.
6. Review and sign: Before submitting the form, carefully review all the information you have entered. Ensure its accuracy and completeness. Once satisfied, sign and date the certification form.
7. Submit the form: Return the completed certification of qualifying exigency form to your employer or the designated department responsible for processing leave requests. Be sure to follow any additional instructions provided by your employer regarding the submission process.

Who needs certification of qualifying exigency:

1. Employees covered under the Family and Medical Leave Act (FMLA): The certification of qualifying exigency is typically required for employees who are covered under FMLA provisions. These employees may take leave for specified reasons related to their family members' military service.
2. Employees requesting leave for qualifying exigencies: Any employee who needs to take time off from work to address a qualifying exigency as identified under the FMLA regulations may need to provide this certification. It serves as proof and documentation of the employee's need for leave related to the specific exigency.
3. Employers and HR departments: The certification of qualifying exigency is an essential document for employers and HR departments to track and approve employee requests for leave related to qualifying exigencies. It helps ensure compliance with FMLA regulations and company leave policies.

Note: It is important to consult your employer's specific policies and procedures regarding the certification of qualifying exigency, as requirements may vary.

For pdfFiller’s FAQs

What is certification of qualifying exigency?

Certification of qualifying exigency is a form that allows eligible employees to request leave for qualifying exigencies related to a covered military member.

Who is required to file certification of qualifying exigency?

Employees who are eligible for FMLA leave and need to take leave for a qualifying exigency related to a covered military member are required to file certification of qualifying exigency.

How to fill out certification of qualifying exigency?

Certification of qualifying exigency can be filled out by providing details about the qualifying exigency, the relationship to the covered military member, and other required information.

What is the purpose of certification of qualifying exigency?

The purpose of certification of qualifying exigency is to provide documentation for employers to verify that an employee's request for leave for a qualifying exigency related to a covered military member is valid.

What information must be reported on certification of qualifying exigency?

Information such as the type of qualifying exigency, the start date of the exigency, the expected duration of leave, and the employee's relationship to the covered military member must be reported on certification of qualifying exigency.

How can I get certification of qualifying exigency?

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