Get the free IU FMLA Form #3 - Intent to Return & Fitness for Duty/Medical Release
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INDIANA UNIVERSITYFamily Medical Leave Act (FMLA) FORM #3Intent to Return & Fitness for Duty/Medical Release IMPORTANT INFORMATIONPLEASE READ BEFORE COMPLETING THIS FORM Please type or print all information
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How to fill out iu fmla form 3
How to fill out iu fmla form 3
01
To fill out IU FMLA Form 3, follow these steps:
02
Begin by downloading the IU FMLA Form 3 from the official website or obtain a physical copy from your employer.
03
Read the instructions on the form carefully to understand the requirements and guidelines.
04
Provide your personal information such as name, address, phone number, and email.
05
Fill in the details of your employment, including job title, department, and start date.
06
Indicate the type of leave you are requesting and specify the start and end dates of the leave period.
07
If applicable, provide information about the healthcare provider or medical facility issuing your medical certification.
08
Sign and date the form, certifying that all the information provided is accurate to the best of your knowledge.
09
Submit the completed IU FMLA Form 3 to the designated authority or department within your organization.
Who needs iu fmla form 3?
01
IU FMLA Form 3 is required by employees who wish to take leave under the Family and Medical Leave Act (FMLA) at Indiana University (IU).
02
Any employee who meets the eligibility criteria for FMLA leave and intends to request leave for their own serious health condition or the care of a family member with a serious health condition must complete and submit IU FMLA Form 3.
03
It is important to consult with your employer or the HR department at IU to determine if you are eligible and if Form 3 is the appropriate form for your specific situation.
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What is iu fmla form 3?
IU FMLA Form 3 is a form used to request unpaid leave under the Family and Medical Leave Act for a serious health condition.
Who is required to file iu fmla form 3?
Employees who need to take unpaid leave for a serious health condition or to care for a family member with a serious health condition are required to file IU FMLA Form 3.
How to fill out iu fmla form 3?
IU FMLA Form 3 must be filled out by providing personal information, details of the health condition, dates of leave needed, and certification from a healthcare provider.
What is the purpose of iu fmla form 3?
The purpose of IU FMLA Form 3 is to notify the employer of the need for unpaid leave for a serious health condition in compliance with the Family and Medical Leave Act.
What information must be reported on iu fmla form 3?
Information such as personal details, health condition details, dates of leave needed, and certification from a healthcare provider must be reported on IU FMLA Form 3.
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