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FF CRA LEAVE/TELEWORK REQUEST FORM Families First Coronavirus Response Act (FF CRA) or Telework requests must be submitted on this form. Pursuant to the Temporary COVID-19 Response Policy, Department
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How to fill out expanded family and medical

01
To fill out the expanded family and medical form, follow these steps:
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Start by filling out your personal information, such as your name, address, and contact details.
03
Provide details about your employer, including their name, address, and contact information.
04
Indicate the type of leave you are applying for - whether it's for family bonding, medical condition, or military caregiver leave.
05
Specify the date you desire the leave to start and the anticipated duration.
06
Provide information about the family member's condition, if applicable, for whom you need to take leave.
07
Attach any supporting documentation, such as medical certificates or birth certificates, if required.
08
Review the form for accuracy and completeness.
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Sign and date the form before submitting it to your employer.
10
Keep a copy of the filled-out form for your records.
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In case of any further queries or assistance, contact your employer's HR department.

Who needs expanded family and medical?

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Expanded family and medical leave is beneficial for individuals who require time off work due to various circumstances such as:
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- The birth, adoption, or foster care placement of a child.
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- The need to care for a family member with a serious health condition.
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- A serious health condition that makes the employee unable to perform their job duties.
05
- A spouse, child, or parent being on covered active duty in the military.
06
Individuals who fall under these situations can benefit from expanded family and medical leave.
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Expanded Family and Medical refers to an extension of family and medical leave provisions that allow employees to take time off for various family and health-related reasons, often under broader eligibility criteria than traditional family leave.
Employers with a certain number of employees, typically those covered by the Family and Medical Leave Act (FMLA), are required to file expanded family and medical leave documentation for their eligible employees.
To fill out expanded family and medical leave forms, employees should provide personal information, details about the leave request, supporting medical documentation if applicable, and any other required information as specified by the employer or regulatory body.
The purpose of expanded family and medical leave is to provide employees with the ability to take time off for family caregiving responsibilities, personal medical issues, or bonding with a newborn, ensuring job protection and health benefits during the leave.
The information that must be reported includes employee identification details, the reason for the leave, estimated duration of the leave, medical certifications when necessary, and any previous leave taken.
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