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Employee: Certification of Qualifying Exigency For Military Family Leave Family and Medical Leave Act Medina County Human Resources 144 North Broadway, Room 206 Medina, Ohio 44256 SECTION I: For completion

How to fill out certification of qualifying exigency

How to fill out certification of qualifying exigency:

1. Provide your personal information: Start by filling out your name, address, phone number, and email address in the designated fields on the certification form.
2. Identify the qualifying exigency: Specify the type of qualifying exigency that you are claiming, such as a military member's deployment, military events, or childcare and school activities.
3. Provide relevant dates and details: Fill in the dates during which the qualifying exigency is expected to occur or has occurred. Also, provide any additional details required, such as the location or nature of the event.
4. Attach supporting documents: If applicable, attach any necessary supporting documentation to substantiate your claim, such as deployment orders or medical certifications.
5. Sign and date the certification: Read the certification carefully and sign and date it to confirm that the information provided is true and accurate to the best of your knowledge.

Who needs certification of qualifying exigency?

1. Employees with eligible family members: The certification of qualifying exigency is generally required for employees whose family members are members of the military or the National Guard or Reserves. This includes spouses, parents, and children.
2. Employees seeking qualifying exigency leave: Individuals who need to take time off work to address certain qualifying exigencies related to their family member's military service may need to provide this certification to their employer.
3. Employers and HR departments: Employers and HR departments are responsible for requesting and verifying the certification of qualifying exigency from employees and processing their leave requests accordingly.

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What is certification of qualifying exigency?

Certification of qualifying exigency is a certification form that allows an employee to take leave under the Family and Medical Leave Act (FMLA) for qualifying exigencies.

Who is required to file certification of qualifying exigency?

Employees who are eligible for FMLA leave and need to take time off for qualifying exigencies are required to file certification of qualifying exigency.

How to fill out certification of qualifying exigency?

Employees can fill out certification of qualifying exigency by providing relevant information about the nature of the exigency and their need for leave.

What is the purpose of certification of qualifying exigency?

The purpose of certification of qualifying exigency is to verify that the employee's need for leave is due to a qualifying exigency as defined by the FMLA.

What information must be reported on certification of qualifying exigency?

Information such as the type of exigency, the dates of leave needed, and any supporting documentation must be reported on certification of qualifying exigency.

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