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Certification of Health Care Provider Form Military Family Leave Exigency Leave & Illness of Covered Service Member (Family and Medical Leave Act) SECTION II: To be completed by Employer : Employee
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How to fill out military family leave exigency

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How to fill out military family leave exigency:

01
Start by obtaining the necessary forms. You can obtain them from your employer or the human resources department. These forms are typically referred to as FMLA (Family and Medical Leave Act) forms.
02
Fill out the top section of the form with your personal information. This will include your name, employee ID, contact information, and the date.
03
In the section labeled "Reason for Request," clearly state that you are requesting military family leave exigency. Be specific about the reason for your request, such as the deployment of a family member or their impending call to active duty.
04
Provide supporting documentation. Depending on the circumstances, you may need to attach documentation, such as a copy of the military orders or a letter from the commanding officer. This documentation will help verify the exigency and support your request for leave.
05
Indicate the duration of the requested leave. Specify the start date and end date, if possible. If the duration is uncertain, provide an estimate based on the information available at the time of filing the form.
06
Sign and date the form at the bottom. By signing, you certify that the information provided is true and accurate to the best of your knowledge.

Who needs military family leave exigency:

01
Employees who have a family member deployed or called to active duty in the military may need military family leave exigency.
02
It may also be necessary for employees who have a family member in the military who is on covered active duty to care for the servicemember's parent, spouse, or child who is experiencing a serious injury or illness related to their deployment or active duty service.
03
Additionally, employees who need to address urgent matters arising from a family member's active duty service, such as childcare or making legal or financial arrangements, may also require military family leave exigency.
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Military family leave exigency allows eligible employees to take up to 12 weeks of unpaid leave for certain qualifying reasons related to a covered military member's active duty or call to active duty status.
Employees who are eligible under the Family and Medical Leave Act (FMLA) and who have a qualifying reason related to a covered military member's active duty or call to active duty status are required to file for military family leave exigency.
To fill out military family leave exigency, employees must complete the necessary forms provided by their employer, including relevant information about the military member and the reason for the leave.
The purpose of military family leave exigency is to provide eligible employees with job-protected leave to address certain qualifying exigencies related to a covered military member.
Employees must report information such as the name of the military member, relationship to the employee, the reason for the leave, and the anticipated duration of the leave.
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