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ISU FMLA Medical Leave Application 2020 free printable template

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MEDICAL LEAVE FACT SHEET Family and Medical Leave Act As a faculty or staff member employed at Illinois State University, you may take up to twelve (12) weeks of paid/unpaid, job protected leave for
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How to fill out ISU FMLA Medical Leave Application

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How to fill out ISU FMLA Medical Leave Application

01
Obtain the ISU FMLA Medical Leave Application form from the HR website or department.
02
Fill out your personal information including name, contact information, and employee ID.
03
Indicate the type of leave you are requesting.
04
Provide detailed information about your medical condition or the condition of the family member requiring care.
05
Include the dates for which you are requesting leave.
06
If applicable, have your healthcare provider fill out the necessary certification section of the form.
07
Review the completed application for accuracy and completeness.
08
Submit the application to the HR department as instructed.

Who needs ISU FMLA Medical Leave Application?

01
Employees of ISU who require leave due to personal health issues or to care for a family member with a serious health condition.
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The ISU FMLA Medical Leave Application is a formal request for leave under the Family and Medical Leave Act (FMLA) for eligible employees of Illinois State University (ISU) needing to take time off for qualifying medical reasons.
Employees of Illinois State University who are seeking to take leave for themselves or a family member's serious health condition are required to file the ISU FMLA Medical Leave Application.
To fill out the ISU FMLA Medical Leave Application, an employee should complete the form with required personal information, provide details about the leave request, and include relevant medical documentation that supports the need for leave.
The purpose of the ISU FMLA Medical Leave Application is to inform the university of an employee's need for leave due to health reasons, ensuring compliance with federal regulations that protect employees' rights to take leave for medical matters.
Information that must be reported on the ISU FMLA Medical Leave Application includes the employee's name, department, the reason for leave, dates of the leave, medical documentation, and other pertinent details as requested on the form.
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