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Form to be completed by Employee to return completed form to University Human Resources, 3810 Beard shear Hall, Fax: (515) 2941702, within 15 calendar days of request by University or Submission of
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How to fill out family and medical leave

How to fill out family and medical leave
01
Determine if you are eligible for family and medical leave. Generally, employees who have worked for a covered employer for at least 12 months and have worked at least 1,250 hours during the previous 12 months are eligible.
02
Notify your employer in advance. If you know that you will need to take family and medical leave, notify your employer as soon as possible. Provide them with the necessary information and any required documentation.
03
Fill out the required paperwork. Your employer will provide you with the necessary forms to fill out. These forms may include an application for leave, medical certification forms, and any other required documentation.
04
Provide accurate information. Make sure to accurately fill out all the required information on the forms. Double-check any dates, names, and other important details to avoid any delays or complications.
05
Submit the forms to your employer. Once you have completed all the necessary paperwork, submit it to your employer within the designated timeframe. Follow any specific instructions provided by your employer.
06
Keep copies of all documents. Make sure to keep copies of all the forms and documents you submit. This will serve as a record and proof of your request for family and medical leave.
07
Follow up with your employer. If you do not receive a response or confirmation from your employer within a reasonable amount of time, follow up with them to ensure that your request is being processed.
08
Comply with any additional requirements. Your employer may have additional requirements or policies in place regarding family and medical leave. Make sure to familiarize yourself with these and comply accordingly.
09
Maintain communication with your employer. Stay in touch with your employer during your leave to provide updates on your condition and expected return date. Make sure to follow any guidelines for communication set by your employer.
10
Return to work on time. Once your family and medical leave period is over, make sure to return to work promptly. Notify your employer of your return and provide any necessary documentation if required.
Who needs family and medical leave?
01
Family and medical leave is typically needed by employees who require time off from work to care for their own serious health condition, a family member's serious health condition, or for the birth or adoption of a child.
02
It is also needed by employees who have a spouse, child, or parent on covered active duty in the military and require time off for certain qualifying reasons.
03
Additionally, employees may need family and medical leave if they are caring for a covered servicemember who is their spouse, child, parent, or next of kin and is undergoing medical treatment, recuperation, or therapy for a serious illness or injury.
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What is family and medical leave?
Family and medical leave refers to the unpaid leave that eligible employees can take to care for family members, including the birth, adoption, or serious health condition of a family member, or for their own serious health condition.
Who is required to file family and medical leave?
Eligible employees who meet specific criteria under the Family and Medical Leave Act (FMLA) must file for family and medical leave. Employers with 50 or more employees are also required to provide this leave.
How to fill out family and medical leave?
To fill out family and medical leave, an employee typically needs to complete a designated application form provided by their employer, providing details about the reason for the leave, any supporting medical documentation, and necessary personal information.
What is the purpose of family and medical leave?
The purpose of family and medical leave is to allow employees to take necessary time off for family-related events such as childbirth, adoption, or serious health issues without the fear of losing their job.
What information must be reported on family and medical leave?
Employees must report information such as the type of leave requested, dates of absence, reason for the leave, and any medical certification related to the serious health condition.
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