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FAMU Family and Medical Leave Act (FMLA) Certification of Health Care Provider Form for Family Member’s Serious Health Condition 2018-2025 free printable template

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FAMUOFFICE OF HUMAN RESOURCES FLORIDA AGRICULTURAL & MECHANICAL UNIVERSITYFamily and Medical Leave Act (FMLA) Certification of Health Care Provider Form for Family Members Serious Health Condition
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How to fill out FAMU Family and Medical Leave Act (FMLA)

01
Obtain the FMLA request form from the FAMU Human Resources website or office.
02
Fill in your personal details, including your name, employee ID, and department.
03
Indicate the reason for the leave request, ensuring it qualifies under FMLA guidelines.
04
Provide the start and end dates for the leave period you are requesting.
05
Include information about any medical certification required for your leave type.
06
Sign and date the form.
07
Submit the completed form to your supervisor and the HR department.
08
Follow up to ensure your leave has been approved and understand any further requirements.

Who needs FAMU Family and Medical Leave Act (FMLA)?

01
Employees needing time off for serious health conditions.
02
Employees caring for a family member with a serious health condition.
03
Employees who have recently welcomed a new child through birth or adoption.
04
Employees who need to take leave for military family leave purposes.
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The FAMU Family and Medical Leave Act (FMLA) is a policy that allows eligible employees to take up to 12 weeks of unpaid, job-protected leave per year for specific family and medical reasons.
Employees of FAMU who meet eligibility criteria, including working a minimum number of hours and having a qualifying reason for leave, are required to file for FMLA.
To fill out the FAMU Family and Medical Leave Act (FMLA), employees must complete the appropriate application form provided by the human resources department and submit it along with any necessary documentation.
The purpose of FAMU Family and Medical Leave Act (FMLA) is to provide employees with job protection and unpaid leave for personal or family medical emergencies, ensuring they can take the necessary time off without losing their job.
The information that must be reported on the FAMU Family and Medical Leave Act (FMLA) includes the employee's name, the reason for the leave, the dates of absence, any medical certification if applicable, and any documentation required by FAMU's policies.
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