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Dorchester County Public Schools Office of Human Resources Every Child A Success! Family and Medical Leave Act (FMLA) Request Form To: Jeffrey S. Grafton, Office of Human Resources Administrator From:

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How to fill out dcps fmla request form

How to fill out the DCPS FMLA request form:

01

Obtain the form: Firstly, you need to obtain the DCPS FMLA request form. This can usually be found on the official DCPS website or obtained from your human resources department.

02

Provide personal information: Start by filling out your personal information accurately. This includes your full name, employee identification number, contact details, and job title.

03

State the reason for the request: Clearly state the reason why you are requesting FMLA leave. This can include medical conditions, caring for a family member, or the birth/adoption of a child. Be as specific as possible to ensure clarity.

04

Attach supporting documentation: Depending on the reason for your FMLA request, you may need to attach supporting documentation. This can include medical certificates, adoption papers, or other relevant documents. Make sure to provide accurate and thorough documentation to support your request.

05

Select the start and end dates: Indicate the start and end dates for the requested FMLA leave. Ensure that the dates provided align with the medical condition or situation you are requesting leave for.

06

Determine the type of leave: Specify whether you are requesting continuous or intermittent FMLA leave. Continuous leave refers to a specific period of time, while intermittent leave is taken sporadically over a longer period.

07

Provide additional information if needed: Some FMLA requests may require additional information or details to be provided. This can include details about the healthcare provider or facility, requests for accommodation, or any other relevant information.

08

Review and submit the form: Once you have filled out all the necessary sections of the DCPS FMLA request form, review it carefully for any errors or omissions. Ensure that all required fields are completed and that the provided information is accurate. Sign and submit the form according to the instructions provided.

Who needs the DCPS FMLA request form?

01

DCPS employees: The DCPS FMLA request form is specifically designed for employees of the District of Columbia Public Schools (DCPS) who require leave under the Family and Medical Leave Act (FMLA).

02

Employees with qualifying situations: Any DCPS employee who experiences a medical condition, needs to care for a family member with a serious health condition, or is expecting the birth or adoption of a child may require the DCPS FMLA request form.

03

Employees seeking job-protected leave: The FMLA provides eligible employees with up to 12 weeks of job-protected, unpaid leave per year. To request this leave and ensure compliance with the DCPS policies, employees need to complete the DCPS FMLA request form.

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What is dcps fmla request form?

DCPS FMLA request form is a form used by employees of DC Public Schools to request leave under the Family and Medical Leave Act (FMLA).

Who is required to file dcps fmla request form?

Employees of DC Public Schools who need to take a leave of absence for qualifying reasons are required to file the DCPS FMLA request form.

How to fill out dcps fmla request form?

To fill out the DCPS FMLA request form, employees need to provide their personal information, describe the reason for their leave, and submit any necessary supporting documentation.

What is the purpose of dcps fmla request form?

The purpose of the DCPS FMLA request form is to notify the employer of the employee's need for leave under the Family and Medical Leave Act and to ensure compliance with FMLA regulations.

What information must be reported on dcps fmla request form?

The DCPS FMLA request form must include the employee's name, contact information, FMLA-qualifying reason for leave, expected duration of leave, and any relevant medical documentation.

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