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PROTECTED LEAVE REQUEST Preuniversity of Oregon Human Resources 677 East 12th Ave., Ste. 400 5210 University of Oregon Eugene OR 974035210 5413463159 faxes: 5413462548Employee: To request protected

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How to fill out protected leave request form

01

Step 1: Obtain the protected leave request form from your employer or human resources department.

02

Step 2: Read the instructions and requirements listed on the form carefully.

03

Step 3: Fill out the personal information section, including your full name, employee identification number, job position, and contact details.

04

Step 4: Indicate the type of protected leave you are requesting and specify the dates you will be absent from work.

05

Step 5: Provide any necessary supporting documentation or medical certificates required for the leave.

06

Step 6: Sign and date the form.

07

Step 7: Submit the completed form to your employer or human resources department within the specified timeframe.

Who needs protected leave request form?

01

Any employee who wishes to take a protected leave of absence from work needs to fill out a protected leave request form. This applies to employees who are eligible for protected leave under the applicable employment laws, such as the Family and Medical Leave Act (FMLA) in the United States. The form allows the employee to formally request the leave and provides the employer with the necessary information to process the request and handle the employee's absence from work.

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