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Human Resources Manassas City Public Schools 8700 Centreville Road Suite 310 Manassas, VA 20110 Phone: (571) 3776031 Fax: (703) 3356755 FMLA CHECKLIST FOR EMPLOYEES The purpose of this checklist is

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How to fill out fmla checklist for employees

01

Step 1: Obtain a copy of the FMLA checklist for employees from your HR department or download it from the official website of the U.S. Department of Labor.

02

Step 2: Read through the checklist carefully to familiarize yourself with the requirements and documentation needed.

03

Step 3: Begin by filling out your personal information, such as your name, employee ID, and contact details.

04

Step 4: Provide details about your current position, including your job title, department, and supervisor's name.

05

Step 5: Specify the reason for your FMLA leave request, such as your own serious health condition, the need to care for a family member, or the arrival of a new child.

06

Step 6: Indicate the start and end dates of your anticipated leave period.

07

Step 7: Attach any supporting documentation required, such as medical certificates, birth certificates, or adoption papers.

08

Step 8: Review the completed FMLA checklist for accuracy and completeness.

09

Step 9: Submit the checklist to your HR department within the designated timeframe, keeping a copy for your records.

10

Step 10: Follow up with your HR department to ensure your FMLA leave request has been processed and approved.

Who needs fmla checklist for employees?

01

Employees who may need to take leave under the Family and Medical Leave Act (FMLA) should fill out the FMLA checklist.

02

This includes employees who are experiencing a serious health condition, need to care for a family member with a serious health condition, or need time off for the birth, adoption, or foster care placement of a child.

03

FMLA provides job protection and continuation of health insurance coverage for eligible employees, so it is important for those who meet the criteria to fill out the checklist.

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