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GREENHOUSE SANITARY DISTRICT REQUEST FOR FAMILY/MEDICAL LEAVE Employee Name Date of Request Department Position Title Hire Date I request a Family/Medical Leave for the following reason (check one):

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What is request for family medical leave?

Family medical leave is a request for time off from work to care for a family member with a serious health condition.

Who is required to file request for family medical leave?

Employees are required to file a request for family medical leave if they need time off to care for a family member.

How to fill out request for family medical leave?

To fill out a request for family medical leave, employees should contact their HR department and follow the company's procedures for requesting leave.

What is the purpose of request for family medical leave?

The purpose of a request for family medical leave is to provide employees with the opportunity to take time off to care for a family member in need.

What information must be reported on request for family medical leave?

Information that must be reported on a request for family medical leave includes the name of the family member needing care, the nature of their health condition, and the expected duration of leave.

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