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NV Application for FMLA - Washoe County 2017 free printable template

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WASHOE COUNTY APPLICATION FOR FMLA (Family and Medical Leave Act)Employee Name: Employee # Home Address and Phone # Department: Work Tel. #: Supervisor: Start Date of Anticipated Leave: Expected Date
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How to fill out NV Application for FMLA - Washoe County

01
Obtain the NV Application for FMLA form from the Washoe County website or Human Resources.
02
Read the eligibility requirements for FMLA carefully to ensure you qualify.
03
Fill out your personal information including name, address, and employee ID.
04
Specify the reason for your FMLA request, such as for your own serious health condition or to care for a family member.
05
Indicate the start and end dates of your requested leave.
06
If applicable, provide documentation to support your FMLA request, such as medical certifications.
07
Review your completed application for accuracy and completeness.
08
Submit the application to your HR department or designated FMLA administrator.
09
Keep a copy of the submitted application for your records.

Who needs NV Application for FMLA - Washoe County?

01
Employees of Washoe County who require time off for family or medical reasons are eligible to submit the NV Application for FMLA.
02
Any employee who has met the required length of service and hours worked to qualify for FMLA benefits.
03
Individuals who are experiencing a serious health condition, need to care for a family member, or face qualifying emergencies might also need this application.
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People Also Ask about

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health benefits be maintained during the leave.
Nevada's Family and Medical Leave Act (FMLA) allows workers to take up to 12 weeks of leave in a 12-month period to bond with a new child, to treat themselves or a family member with a serious health condition, or to tend to certain military-related “qualifying exigencies”.
In Nevada, employees may take up to 12 weeks of leave in a 12-month period for a serious health condition, bonding with a new child, or qualifying exigencies. This leave is available every 12 months, as long as the employee continues to meet the eligibility requirements explained above.
Nevada, like the majority of states, currently has no state paid family leave law. That means workers securing time off to physically recover from giving birth and bond with your newborn requires hoarding vacation time, or saving enough money to be able to take unpaid leave.
Do you get paid for FMLA in Nevada? FMLA leave is unpaid. However, some employers choose to pay their workers anyway. Contact your HR department.
FMLA leave is unpaid, but employees may be allowed (or required) to use their accrued paid leave during FMLA leave. When an employee's FMLA leave ends, the employee is entitled to be reinstated to the same or an equivalent position, with a few exceptions.

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The NV Application for FMLA - Washoe County is a formal request for leave under the Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid, job-protected leave for specified family and medical reasons.
Employees of Washoe County who are eligible for FMLA leave due to qualifying reasons, such as the birth of a child, adoption, or serious health conditions, are required to file the NV Application for FMLA.
To fill out the NV Application for FMLA - Washoe County, employees must provide their personal information, the reason for the leave, the expected duration of the leave, and any relevant medical documentation if applicable.
The purpose of the NV Application for FMLA - Washoe County is to formally request permission for unpaid leave under FMLA provisions, ensuring job protection during the employee's absence for qualifying reasons.
The information that must be reported on the NV Application for FMLA - Washoe County includes the employee's name, contact information, reason for leave, dates of leave, and any medical certification if required.
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