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LOS ANGELES UNIFIED SCHOOL DISTRICT
Family and Medical Leave Certification of Qualifying Exigency
For Military Family Leave
SECTION I: For Completion by the SUPERVISOR
INSTRUCTIONS to the SUPERVISOR:
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How to fill out fmla qualifying exigency for

How to fill out fmla qualifying exigency for
01
To fill out FMLA qualifying exigency form, follow these steps:
02
Obtain the FMLA qualifying exigency form from your employer or download it from the Department of Labor website.
03
Read the instructions carefully to understand the eligibility criteria and required documentation.
04
Fill out your personal information accurately, including your name, employee ID, and contact details.
05
Provide the details about your relationship with the covered service member, such as spouse, parent, or child.
06
Clearly mention the dates of the military member's covered active duty or call to covered active duty and any other relevant dates.
07
Specify the type of qualifying exigency you are requesting leave for, such as short-notice deployment, military events, childcare, or school activities.
08
Attach any supporting documentation, if required, to substantiate your need for FMLA qualifying exigency leave.
09
Review the form to ensure all information is accurate and complete.
10
Sign and date the form to certify the accuracy of the provided information and your understanding of the penalties for providing false information.
11
Submit the completed form to your employer through the designated channel.
12
Keep a copy of the filled-out form for your records.
13
Await confirmation from your employer regarding the approval or denial of your FMLA qualifying exigency leave request.
14
Note: It is advisable to consult with your employer's HR department or a legal professional if you have specific questions or concerns about filling out the form.
Who needs fmla qualifying exigency for?
01
FMLA qualifying exigency leave is available to eligible employees to address certain needs that arise due to a family member's covered active duty or call to covered active duty in the military.
02
The following individuals may need FMLA qualifying exigency leave:
03
- Spouses of covered service members
04
- Parents (biological, adoptive, or foster) of covered service members
05
- Children (biological, adopted, or foster) of covered service members
06
- Next of kin of covered service members
07
08
Eligible employees who meet these criteria and require time off for qualifying exigencies related to their family member's military service can request FMLA qualifying exigency leave.
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What is fmla qualifying exigency for?
FMLA qualifying exigency is for eligible employees to take time off work to address certain qualifying exigencies related to covered active duty or call to covered active duty of a military member in the armed forces.
Who is required to file fmla qualifying exigency for?
Eligible employees who need to take time off work to address qualifying exigencies related to a military member in the armed forces.
How to fill out fmla qualifying exigency for?
Employees can request FMLA qualifying exigency leave by providing the necessary documentation to their employer and following the company's procedures for requesting FMLA leave.
What is the purpose of fmla qualifying exigency for?
The purpose of FMLA qualifying exigency leave is to allow eligible employees to address certain qualifying exigencies related to a military member's active duty service.
What information must be reported on fmla qualifying exigency for?
Employees may be required to report information related to the qualifying exigency, such as the military member's name and relationship, the reason for the leave, and any related documentation.
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