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Medical Leave of Absence Petition Student Health Services or Counseling Center approval is required. Students are required to work directly with Student Health Services or the Counseling Center to

How to fill out medical leave of absence

How to fill out medical leave of absence

1. Step 1: Obtain the medical leave of absence form from your employer or human resources department.
2. Step 2: Read the instructions on the form carefully to understand the required information and documentation.
3. Step 3: Fill out your personal information accurately, including your name, employee ID, and contact details.
4. Step 4: Provide the start and end dates of your leave of absence, as well as the reason for your medical leave.
5. Step 5: Consult with your healthcare provider and obtain any necessary medical documentation supporting your need for leave.
6. Step 6: Attach the required medical documentation to the form.
7. Step 7: Review the form to ensure all fields are completed and accurate.
8. Step 8: Submit the completed medical leave of absence form to your employer or human resources department.
9. Step 9: Keep a copy of the form and supporting documentation for your records.
10. Step 10: Follow up with your employer or human resources department to confirm the acceptance of your medical leave of absence.

Who needs medical leave of absence?

1. Employees who have experienced a serious illness or injury that requires medical treatment and time off from work.
2. Employees who are undergoing medical procedures, surgeries, or treatments that necessitate a temporary absence.
3. Pregnant employees who require maternity leave for prenatal care, delivery, and postnatal recovery.
4. Employees who need to care for a family member with a serious health condition.
5. Employees who have been diagnosed with a contagious illness and are advised by a healthcare professional to take time off work to prevent spreading the illness to others.

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