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CITY OF PORTLAND, BUREAU OF HUMAN RESOURCES Funeral, Bereavement and Pregnancy Loss Leave Request Form Requesting employee reviews and completes sections I IV and submits to their manager. Requesting

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What is funeral bereavement and pregnancy?

Funeral bereavement and pregnancy is a federal program that allows eligible employees to take time off work for the death of a family member or the birth of a child.

Who is required to file funeral bereavement and pregnancy?

Employees who meet the eligibility requirements and need to take time off work for funeral bereavement or pregnancy are required to file for this benefit.

How to fill out funeral bereavement and pregnancy?

Employees can fill out the necessary forms provided by their employer or Human Resources department to apply for funeral bereavement and pregnancy benefits.

What is the purpose of funeral bereavement and pregnancy?

The purpose of funeral bereavement and pregnancy is to provide eligible employees with time off work to grieve the loss of a family member or to care for a newborn child.

What information must be reported on funeral bereavement and pregnancy?

Employees must report the date of the funeral or birth, the relationship to the deceased or newborn, and any other relevant information as required by the employer.

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