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State of Vermont Families First Coronavirus Response Act (FF CRA)EMERGENCY FAMILY MEDICAL LEAVE EXPANSION ACT LEAVE REQUEST FORM Last Updated: July 06, 2020, Employees who are caring for their child/children
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How to fill out emergency family medical leave

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How to fill out emergency family medical leave

01
Step 1: Obtain the necessary forms from your employer to request emergency family medical leave.
02
Step 2: Read and understand the eligibility requirements for emergency family medical leave.
03
Step 3: Gather any required supporting documentation, such as medical certificates or proof of relationship.
04
Step 4: Complete the necessary information on the forms, including your personal details, the reason for requesting leave, and the duration of the leave.
05
Step 5: Submit the completed forms and supporting documentation to your employer according to their instructions.
06
Step 6: Wait for your employer to review your application and communicate the outcome to you.
07
Step 7: If approved, follow any additional instructions from your employer regarding the start and end dates of your leave.
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Step 8: Return to work as agreed upon with your employer after your emergency family medical leave period ends.

Who needs emergency family medical leave?

01
Employees who have a qualified reason for taking leave under the emergency family medical leave provision.
02
Individuals who need to care for a child whose school or place of care is closed due to COVID-19.
03
Employees who are unable to work or telework due to a need to care for a family member with a serious health condition.
04
Individuals who need to care for a child under the age of 18 whose regular childcare provider is unavailable due to COVID-19.
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Emergency family medical leave refers to a provision under the Family and Medical Leave Act (FMLA) that allows eligible employees to take leave for specific family-related reasons, particularly in response to public health emergencies.
Employers with 50 or more employees within a 75-mile radius and eligible employees who need to take leave for qualifying reasons are required to file emergency family medical leave.
To fill out emergency family medical leave, employees typically need to complete a designated leave request form provided by their employer, providing necessary information such as the reason for leave, the dates of absence, and any required documentation.
The purpose of emergency family medical leave is to provide job-protected leave for employees who need to care for a family member or themselves due to medical reasons, particularly during a public health crisis.
Employees must report information including their name, the reason for leave, the dates of absence, and any supporting medical documentation as required by their employer.
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