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SE LAH SCHOOL DISTRICT NO. 119 FILE: 5403 F1 FAMILY EMERGENCY LEAVE REQUEST This form is to be used when any District staff member wishes to apply for Family Emergency Leave, as provided by PL 1033
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How to fill out family emergency leave request

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How to fill out a family emergency leave request:

01
Begin by obtaining the necessary forms or documents from your employer. These may vary depending on the company or organization you work for. You may need to request these from your supervisor or the human resources department.
02
Fill out your personal information accurately. Include your full name, employee identification number, job title, department, and contact information. Providing accurate information will ensure that your request can be processed efficiently.
03
Specify the type of leave you are requesting. In this case, you are requesting a family emergency leave. Make sure to state the exact reason for the request, such as the illness or hospitalization of a family member, a death in the family, or any other qualifying situation that warrants your need for time off.
04
Provide the dates for the requested leave. Clearly indicate the dates you will be absent from work. It is important to be as specific as possible to avoid any confusion. If you require an extended absence, be sure to clearly communicate the expected duration of your absence.
05
Attach any supporting documentation if required. Some employers may request supporting documents such as medical certificates, death certificates, or other relevant paperwork. Make sure to include these along with your leave request to avoid any delays in processing.
06
Sign and date the request. Your signature indicates that you have filled out the form accurately and truthfully. By dating the form, it provides a record of when the request was submitted.

Who needs a family emergency leave request:

01
Employees who have a family member facing a medical emergency or hospitalized.
02
Employees who have experienced a death in the family and need to attend funeral arrangements or support their relatives.
03
Those who need to take care of a family member due to a sudden illness or injury.
04
Individuals needing to provide assistance or care for a loved one in a crisis situation.
05
Employees who have a dependent child or family member in need of immediate attention or care.
It is important to note that the eligibility and specific policies regarding family emergency leave may vary depending on your employer, company policies, and relevant labor laws. Be sure to familiarize yourself with your company's specific rules and procedures when requesting leave for family emergencies.
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Family emergency leave request is a formal request for time off from work to deal with unexpected family situations such as illness, injury, or other emergency circumstances.
Employees who need to take time off from work to address family emergencies are required to file a family emergency leave request.
To fill out a family emergency leave request, employees typically need to provide details about the emergency situation, the expected duration of leave, and any necessary documentation.
The purpose of family emergency leave request is to allow employees to address unforeseen family emergencies without risking their job security or facing disciplinary action.
Information required on a family emergency leave request may include the reason for the leave, expected duration of absence, and any supporting documentation.
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