Get the free HR Form-FMLA-HR13-2009.doc - das state ct
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State of Connecticut Human Resources Employee Request 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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How to fill out hr form-fmla-hr13-2009doc - das
How to fill out hr form-fmla-hr13-2009doc:
01
Begin by carefully reading the instructions provided on the form. Make sure you understand all the requirements and sections of the form before you start.
02
Gather all the necessary information and documentation needed to fill out the form accurately. This may include personal details, dates, medical records, and any supporting documentation required by the form.
03
Start by writing your personal information in the designated fields. This may include your name, address, contact information, and employee identification number.
04
Move on to the section where you will document the reason for requesting FMLA leave. Be specific and provide as much detail as possible to support your request.
05
Fill out the section regarding the duration of the requested leave. Indicate the dates you plan to take the leave and ensure they align with your company's policies and any relevant regulations.
06
If applicable, fill out the certification section. This may require input from your healthcare provider or the healthcare provider of the family member you are requesting leave for. Make sure all required information and signatures are provided.
07
Review the completed form thoroughly before submitting it. Ensure all sections are accurately filled out, all required fields are completed, and all supporting documents are attached, if necessary.
08
Sign and date the form where indicated. If there are specific instructions for submitting the form, follow them carefully to ensure it reaches the appropriate department or individual.
Who needs hr form-fmla-hr13-2009doc:
01
Employees who require FMLA (Family and Medical Leave Act) leave for their own serious health condition.
02
Employees who need to take FMLA leave to care for a family member with a serious health condition.
03
Employees who are expecting a child or adopting a child and need to take FMLA leave for maternity or paternity purposes.
04
Individuals in the military or their family members who need to take FMLA leave for qualifying exigencies.
05
Employees who need FMLA leave to care for a covered service member with a serious injury or illness.
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What is hr form-fmla-hr13-doc?
hr form-fmla-hr13-doc is a form used for reporting Family and Medical Leave Act (FMLA) requests and documentation.
Who is required to file hr form-fmla-hr13-doc?
Employees who are requesting leave under the Family and Medical Leave Act (FMLA) are required to file hr form-fmla-hr13-doc.
How to fill out hr form-fmla-hr13-doc?
To fill out hr form-fmla-hr13-doc, employees must provide information about their FMLA request, such as the reason for leave, expected duration, and any supporting documentation.
What is the purpose of hr form-fmla-hr13-doc?
The purpose of hr form-fmla-hr13-doc is to document and process requests for leave under the Family and Medical Leave Act (FMLA).
What information must be reported on hr form-fmla-hr13-doc?
Information that must be reported on hr form-fmla-hr13-doc includes the employee's name, date of request, reason for leave, expected duration, and any relevant medical documentation.
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