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1State of Connecticut Human Resources CORE CT Coding Family and Medical Leave Entitlements (To be completed by the Human Resources Office) Form #: FMLAHR2c Revision Date: 3/2018 This form is to be
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To fill out for family and medical, follow these steps:
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Determine the purpose of the form: Decide whether you are applying for family leave or medical leave.
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Who needs for family and medical?

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Family and medical leave forms are typically needed by employees who require time off work for various reasons such as:
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- The birth or adoption of a child
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- Personal serious health condition
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- Military-related exigencies
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- Caregiving responsibilities for a covered servicemember
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These forms are usually required by employers or government institutions to process the leave requests and provide appropriate benefits.
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For family and medical is a form that allows employees to take time off work to care for a family member or for their own medical needs.
Employees who need to take time off work to care for a family member or for their own medical needs are required to file for family and medical.
To fill out for family and medical, employees need to provide details about the reason for their leave and any supporting documentation required by their employer.
The purpose of for family and medical is to provide employees with the opportunity to take time off work to care for a family member or for their own medical needs without risking their job security.
Employees must report details about the reason for their leave, the expected duration of their absence, and any supporting documentation required by their employer on for family and medical.
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