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CITY OF ESCONDIDO FAMILY AND MEDICAL LEAVE CERTIFICATION EMPLOYEES SERIOUS HEALTH CONDITION Section I FOR COMPLETION BY THE EMPLOYEE INSTRUCTIONS to the EMPLOYEE: Please complete this section prior
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How to fill out family and medical leave

01
Step 1: Obtain the required forms from your employer or the Human Resources department.
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Step 2: Read the instructions provided with the forms carefully.
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Step 3: Provide all necessary personal information, such as your name, contact details, and employee identification number.
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Step 4: Specify the reason for requesting family and medical leave, including the start and end dates of the leave.
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Step 5: Attach any supporting documents, such as medical certificates or legal documents, if required.
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Step 6: Review the completed form for accuracy and completeness.
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Step 7: Submit the form to your employer or the designated department responsible for processing leave requests.
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Step 8: Keep a copy of the filled-out form for your records.
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Step 9: Follow up with your employer to ensure that your request has been received and processed.
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Step 10: If approved, comply with any additional instructions or requirements provided by your employer during the leave period.

Who needs family and medical leave?

01
Employees who are expecting or have recently become parents, including new mothers and fathers.
02
Employees who need time off to take care of a family member with a serious health condition.
03
Employees who require medical leave for their own serious health condition.
04
Employees who have adopted a child or are fostering a child.
05
Employees who need to address legal and logistical issues related to military deployment of a family member.
06
Employees who need to care for a covered service member with a serious injury or illness.
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Family and Medical Leave Act (FMLA) provides employees with job-protected and unpaid leave for qualified medical and family reasons.
Employers with 50 or more employees within a 75-mile radius
Employees must request FMLA leave from their employer and provide necessary documentation.
The purpose is to allow employees to balance work and family responsibilities without risking their job security.
Employee's medical condition, duration of leave needed, and relationship to the family member needing care
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