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City of Raleigh Families First Coronavirus Response Act (FF CRA) Family and Medical Leave Act/PHL Application Employee Information Name: Job Title: Department: Date Submitted: Phone Number: Qualifying
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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 the Human Resources department.
03
Read and understand the instructions provided along with the forms.
04
Begin by providing your personal information, such as your name, address, and contact details.
05
Specify the type of leave you are requesting, whether it is for family or medical reasons.
06
Provide details about the family member or medical condition that necessitates your leave.
07
Indicate the duration of leave you are planning, including start and end dates.
08
Attach any supporting documentation, such as medical certificates or birth/adoption certificates.
09
Review the completed form for accuracy and make any necessary corrections.
10
Submit the form to your employer or the designated authority as per your organization's policy.
11
Keep a copy of the filled-out form for your records.
12
Follow up with your employer to ensure that your leave request has been processed.

Who needs family and medical leave?

01
Family and medical leave is needed by individuals who require time off from work to attend to family-related matters or address their own medical needs.
02
This can include employees who need to care for a newborn or newly adopted child, tend to a seriously ill family member, or recover from their own serious health conditions.
03
It is also applicable to individuals seeking leave for reasons related to military service or exigencies arising from a family member's military deployment.
04
Family and medical leave provides job protection and income continuation during such absences, making it crucial for those who meet the eligibility criteria.
05
Employers may have specific policies and eligibility criteria in place for employees to avail family and medical leave.
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Family and Medical Leave Act (FMLA) provides employees with job-protected leave for qualified medical and family reasons.
Employees who are eligible for FMLA and need to take leave for qualifying reasons are required to file family and medical leave.
Employees can fill out the required paperwork provided by their employer or human resources department to request family and medical leave.
The purpose of family and medical leave is to allow employees to take time off work for qualified medical and family reasons without risking their job security.
Employees must report the reason for their leave, the anticipated duration of the leave, and any supporting documentation required by their employer.
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