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Page 1 of 8Employee NamePERNRFTEPurdue University Human Resources Revised 7/26/19Family and Medical Leave Act Request and Notice The Family and Medical Leave Act (FMLA) is a federal regulation that
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How to fill out family and medical leave

01
To fill out family and medical leave, follow these steps:
02
Obtain the necessary forms from your employer or download them from the official website.
03
Provide your personal information such as name, address, and contact details.
04
Specify the reason for your leave, whether it is for the birth or adoption of a child, to care for a family member with a serious health condition, or for your own serious health condition.
05
Include the start and end dates of your leave, as well as the expected duration.
06
Attach any supporting documentation required, such as medical certificates or adoption papers.
07
Submit the completed forms to your employer or the designated authority.
08
Keep a copy of the forms for your records.
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Await approval or further instructions from your employer.

Who needs family and medical leave?

01
Family and medical leave is needed by individuals who require time off from work to attend to certain family or medical situations.
02
Examples of those who may need family and medical leave include:
03
- Employees who are expecting a child or have recently become parents.
04
- Individuals who need to care for a family member, such as a child, spouse, or parent, with a serious health condition.
05
- Employees who require medical treatment or rehabilitation for their own serious health condition.
06
- Individuals involved in the adoption or foster care process.
07
- Those dealing with specific circumstances related to military service, such as deployment or caregiving for a service member with a serious injury or illness.
08
It is important to check the specific eligibility criteria and requirements set by your employer or the relevant legislation in your country.
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Family and medical leave is a type of leave that allows eligible employees to take time off for certain family and medical reasons, such as the birth of a child, caring for a sick family member, or dealing with a serious health condition.
Employees who are eligible for family and medical leave under the Family and Medical Leave Act (FMLA) are required to file for leave with their employer.
To fill out family and medical leave, employees typically need to complete a leave request form provided by their employer, which may require them to provide details about the reason for leave and any supporting documentation.
The purpose of family and medical leave is to provide job-protected time off to employees so they can take care of their own serious health conditions, bond with a new child, or care for a family member with a serious health issue.
When filing for family and medical leave, employees must report information such as the reason for the leave, the expected duration, and if applicable, medical certification or documentation supporting their request.
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