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SERIOUS HEALTH CONDITION OF EMPLOYEE
REQUEST FOR FAMILY MEDICAL LEAVE OF ABSENCE
Instructions for Section I
Human Resources is responsible for handling requests for Family Medical Leave under PER
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Provide your personal details, such as name, age, and contact information.
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Clearly state the specific serious health condition you are reporting.
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What is serious health condition of?
Serious health condition of is a form used to report any serious health conditions that may affect an employee's ability to work.
Who is required to file serious health condition of?
Employers are required to file serious health condition of for their employees.
How to fill out serious health condition of?
Serious health condition of can be filled out online or on paper. Employers must provide detailed information about the employee's health condition and how it affects their ability to work.
What is the purpose of serious health condition of?
The purpose of serious health condition of is to ensure that employees receive the necessary accommodations for their health conditions and to protect their rights under the law.
What information must be reported on serious health condition of?
Information such as the employee's diagnosis, treatment plan, expected duration of the condition, and any necessary accommodations must be reported on serious health condition of.
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