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CITY OF MINNEAPOLISCERTIFICATION OF HEALTH CARE PROVIDERFamily Members Serious Health Condition
(Family and Medical Leave Act)Employee ID:
Leave Start Date:Leave End Date:SECTION I: For Completion
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How to fill out leave start date

How to fill out leave start date
01
To fill out the leave start date, follow these steps:
02
Open the leave application form.
03
Locate the field for the start date of your leave.
04
Click on or select the start date field.
05
Enter the date using the prescribed format (e.g., DD/MM/YYYY).
06
Double-check the entered date for accuracy.
07
If the form requires additional information or verification, provide it accordingly.
08
Submit the form to complete filling out the leave start date.
Who needs leave start date?
01
Anyone who is applying for a leave or vacation requires the leave start date. This is typically needed by employees, students, and anyone requesting time off from their regular responsibilities.
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What is leave start date?
The leave start date is the date on which an employee's approved leave period begins.
Who is required to file leave start date?
Employees who are taking leave are required to file their leave start date with their employer.
How to fill out leave start date?
Employees can fill out their leave start date on the designated leave request form provided by their employer.
What is the purpose of leave start date?
The purpose of the leave start date is to inform the employer when the employee will be taking leave and for how long.
What information must be reported on leave start date?
The leave start date must include the date on which the leave period begins and the duration of the leave.
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