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State of Connecticut Human Resources CORE CT Coding For Leave of Absence under the Federal Family and Medical Leave Act (FMLA) And/or State C.G.S. 5-248a (Family and medical leave from employment)
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Start by opening the hr form-fmla-hr2ccoding3-2013doc - das document on your computer or in print.
02
Carefully read through the instructions provided at the beginning of the form. These instructions will guide you on how to properly fill out each section.
03
Begin by providing your personal information, such as your name, employee ID, and contact details. Make sure to accurately input this information as it is crucial for identification purposes.
04
Proceed to the section that requires you to indicate the specific dates of your FMLA leave. FMLA stands for Family and Medical Leave Act, so you will need this form if you are requesting leave for reasons mentioned in the act.
05
Fill out the relevant details regarding the reason for your leave. This could include medical conditions, pregnancy, adoption, or caring for a family member.
06
If applicable, provide any additional documents or attachments that may be requested on the form.
07
Once you have completed filling out all the necessary sections, review your form for any errors or missing information. It is important to ensure accuracy before submitting the form.
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Sign and date the hr form-fmla-hr2ccoding3-2013doc - das using your legal signature. This indicates that the information provided is true and accurate to the best of your knowledge.
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Keep a copy of the completed form for your records before submitting it to the appropriate department or individual within your organization.
The hr form-fmla-hr2ccoding3-2013doc - das is typically needed by employees who are requesting FMLA leave. FMLA provides eligible employees with job-protected leave for specific family and medical reasons. Those who require leave due to personal health conditions, taking care of a family member with a serious health condition, or the birth/adoption of a child may need to fill out this form. It is important to consult with your organization's HR department or refer to the specific guidelines provided by your employer to determine if this form is necessary in your situation.
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