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PERSONAL / COMPANY MEDICAL LEAVE OF ABSENCE APPLICATION FORM (NORFOLK) Section A TO BE COMPLETED BY EMPLOYEE Name (First, MI, Last) Employee Phone Cumbersome: (Employee CCS ID & Location Name:)Work:
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How to fill out personal company medical leave

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How to fill out personal company medical leave

01
Fill out the personal company medical leave form provided by your employer.
02
Enter your personal information such as name, employee ID, department, and contact details.
03
Specify the dates of your medical leave, including the start and end dates.
04
Provide a detailed explanation or reason for your medical leave, including any supporting medical documentation or certificates if required.
05
Sign and date the form once you have completed filling it out.
06
Submit the fully filled-out form to your HR department or the designated authority in your company.
07
Keep a copy of the filled-out form for your records.

Who needs personal company medical leave?

01
Employees who are facing medical conditions or illnesses that require them to take time off work and receive medical treatment or rest.
02
Employees who need to seek medical attention or treatment due to injuries or accidents occurring during their employment.
03
Employees who are pregnant and need to take maternity leave or have complications requiring medical leave.
04
Employees who have a chronic health condition that periodically requires medical leave.
05
Employees who need to care for a family member with a serious health condition and have been granted medical leave for this purpose by their employer.
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Personal company medical leave is time off from work that an employee can take for his or her own medical purposes.
Employees who need time off from work for their own medical reasons are required to file personal company medical leave.
Employees can fill out personal company medical leave by submitting a request to their employer with relevant medical documentation.
The purpose of personal company medical leave is to allow employees to take time off from work for medical reasons without risking their job security.
Personal company medical leave must include details of the medical condition, anticipated duration of leave, and any supporting medical documentation.
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