
Get the free Family Medical Leave - The City of Portland, Oregon
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PERSONAL LEAVE OF ABSENCE REQUEST FORM
Per the Cities Policy on Personal Leaves of Absence (Article VI, Section 28), the City may grant a leave without pay for good cause
up to a maximum of six (6)
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How to fill out family medical leave

How to fill out family medical leave
01
To fill out family medical leave, follow these steps:
02
Obtain the necessary forms: Contact your employer or human resources department to obtain the required forms for filing family medical leave.
03
Read the instructions: Carefully read the instructions provided with the forms to understand the information required and the process for filling out the forms.
04
Provide personal information: Fill out the forms with your personal information, including your name, contact details, and employee identification number.
05
Specify the family medical leave reason: Indicate the reason for requesting family medical leave, such as the birth or adoption of a child, the serious health condition of a family member, or your own serious health condition.
06
Include supporting documentation: Attach any necessary supporting documentation, such as medical certificates or birth certificates, to validate your request for family medical leave.
07
Complete the certification section: If required, have a healthcare provider or authorized medical professional complete the certification section to confirm the need for family medical leave.
08
Submit the forms: Once you have filled out all the necessary information and attached the required documentation, submit the forms to your employer or the designated department according to their instructions.
09
Follow up: Keep a copy of the filled-out forms and any submitted documentation for your records. Follow up with your employer to ensure the forms have been received and processed.
10
Note: The specific process for filling out family medical leave may vary depending on your employer's policies and the applicable laws in your jurisdiction.
Who needs family medical leave?
01
Family medical leave is typically needed by:
02
- Employees who are expecting or have recently given birth to a child.
03
- Employees who need to care for a newborn, newly adopted child, or foster child.
04
- Employees who need to care for a family member with a serious health condition.
05
- Employees who have a serious health condition themselves and need to take time off work for medical treatment or recovery.
06
- Employees who have a qualifying exigency due to the active duty or call to active duty of their spouse, child, or parent in the military.
07
The eligibility for family medical leave and the specific circumstances may vary depending on the country's laws and the employer's policies.
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What is family medical leave?
Family medical leave is a job-protected leave that allows eligible employees to take time off work to care for their own or a family member's serious health condition.
Who is required to file family medical leave?
Employees who meet certain eligibility criteria and need to take leave for qualifying reasons are required to file for family medical leave.
How to fill out family medical leave?
Employees can typically request family medical leave by completing a request form provided by their employer and providing relevant medical documentation.
What is the purpose of family medical leave?
The purpose of family medical leave is to provide employees with job-protected leave to care for their own or a family member's health needs without the fear of losing their job.
What information must be reported on family medical leave?
Employees typically need to report the reason for the leave, the expected duration of the leave, and any relevant medical documentation.
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