Get the free CS-1840 DMU FMLA Certification Family Member. DMU Family Member

CS1840 REV 6/2016 STATE OF MICHIGAN DEPARTMENT OF CORRECTIONS F FAMILY & ME DIC AL L E AVE A CT (FMLA) C ERT IFIC ACTION OF F FAMILY M EMBER S SERIOUS H E ALTO C ODI TON PLEASE PRINT LEGIBLY SECTION

How to fill out cs-1840 dmu fmla certification

How to fill out cs-1840 dmu fmla certification

1. Read the instructions carefully before starting to fill out the CS-1840 DMU FMLA certification form.
2. Provide your personal information such as name, address, phone number, and email address in the designated fields.
3. Indicate the type of leave you are requesting (e.g., medical, family, military) and the specific dates for which you require leave.
4. Provide details about your condition or the condition of your family member requiring leave, including medical documentation if necessary.
5. If applicable, indicate whether intermittent leave is requested or if the leave is for a continuous period of time.
6. Indicate whether any other leave benefits (such as sick leave or paid time off) will be used concurrently with the FMLA leave.
7. If your leave is for military-related reasons, provide the necessary details and documentation supporting your eligibility.
8. Sign and date the certification form to affirm the accuracy of the information provided.
9. Submit the completed CS-1840 DMU FMLA certification form to the appropriate authority or department as instructed.

Who needs cs-1840 dmu fmla certification?

1. Employees who need to take a leave of absence due to medical reasons, including their own serious health condition or that of a family member, may require the CS-1840 DMU FMLA certification.
2. Employees who need to take family leave to care for a newborn, newly adopted child, or a child with a serious health condition may require the CS-1840 DMU FMLA certification.
3. Employees who need to take military-related leave for qualifying exigencies arising from a covered family member's active duty or impending call to active duty in the military may require the CS-1840 DMU FMLA certification.
4. Employees who need to take military caregiver leave to care for a covered family member with a serious injury or illness incurred in the line of duty may require the CS-1840 DMU FMLA certification.
5. Consult your employer's HR department or the Department of Labor for specific eligibility criteria and requirements for the CS-1840 DMU FMLA certification.

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What is cs-1840 dmu fmla certification?

cs-1840 dmu fmla certification is a form used to request Family and Medical Leave Act (FMLA) certification for a serious health condition.

Who is required to file cs-1840 dmu fmla certification?

Employees who need to take a leave of absence under FMLA for their own serious health condition or to care for a family member with a serious health condition are required to file cs-1840 dmu fmla certification.

How to fill out cs-1840 dmu fmla certification?

To fill out cs-1840 dmu fmla certification, employees need to provide their personal information, the reason for the leave, the duration of the leave, and any additional documentation required to support their request.

What is the purpose of cs-1840 dmu fmla certification?

The purpose of cs-1840 dmu fmla certification is to verify the need for FMLA leave due to a serious health condition and to protect the employee's job while they are on leave.

What information must be reported on cs-1840 dmu fmla certification?

On cs-1840 dmu fmla certification, employees must report their name, date of birth, the date the leave is requested to begin, the anticipated duration of the leave, and the reason for the leave.