CUNY FMLA Form-3 B 2015-2025 free printable template

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FAMILY AND MEDICAL LEAVE ACT (FMLA)FMLA FORM3 CERTIFICATION OF HEALTH CARE PROVIDER FOR FAMILY MEMBER\'S SERIOUS HEALTH CONDITION Section 1: TO BE COMPLETED BY EMPLOYER College La Guardian Community

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How to fill out CUNY FMLA Form-3 B

01

Obtain the CUNY FMLA Form-3 B from your HR department or the CUNY website.

02

Carefully read the instructions provided on the form.

03

Fill out the employee's personal information, including name, employee ID, and contact information.

04

Indicate the type of leave requested (e.g., personal, family, medical).

05

Provide the start and end dates for the leave.

06

Include any necessary medical certification or documentation as required.

07

Review all information for accuracy and completeness.

08

Sign and date the form where indicated.

09

Submit the completed form to your HR department within the specified timeframe.

Who needs CUNY FMLA Form-3 B?

01

Employees who are seeking leave under the Family and Medical Leave Act (FMLA) due to personal or family health issues.

02

Employees needing time off for the birth or adoption of a child.

03

Employees caring for a seriously ill family member.

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What is CUNY FMLA Form-3 B?

CUNY FMLA Form-3 B is a form used by employees of the City University of New York to request leave under the Family and Medical Leave Act (FMLA) for specific qualifying reasons.

Who is required to file CUNY FMLA Form-3 B?

Employees of CUNY who are eligible for FMLA leave due to their own serious health condition or that of a family member are required to file CUNY FMLA Form-3 B.

How to fill out CUNY FMLA Form-3 B?

To fill out CUNY FMLA Form-3 B, employees should carefully complete all required sections including personal information, the reason for the leave, and any medical certification as necessary, ensuring accuracy and completeness.

What is the purpose of CUNY FMLA Form-3 B?

The purpose of CUNY FMLA Form-3 B is to formally request FMLA leave and to provide necessary information that supports the request for leave due to health-related issues.

What information must be reported on CUNY FMLA Form-3 B?

Information that must be reported on CUNY FMLA Form-3 B includes the employee's contact information, the reason for the leave, the duration of the leave, and any related medical information or documentation.

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