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ARKANSAS DEPARTMENT OF FINANCE AND ADMINISTRATIONCertification of Qualifying Exigency for Military Family Leave(Family and Medical Leave Act)(Adopted from U.S. Department of Labor Form WH384) OMB

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How to fill out family and medical leave

01

Check with your employer to determine if you are eligible for family and medical leave.

02

Obtain the necessary forms from your employer or HR department.

03

Fill out the forms with accurate and detailed information regarding your situation.

04

Submit the completed forms to your employer within the specified time frame.

05

Keep copies of all documentation for your records.

Who needs family and medical leave?

01

Family and medical leave is typically needed by individuals who are dealing with a personal or family medical issue that requires time off from work.

02

This could include new parents, individuals with serious health conditions, or those caring for a sick family member.

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What is family and medical leave?

Family and Medical Leave Act (FMLA) allows eligible employees to take unpaid, job-protected leave for certain family and medical reasons.

Who is required to file family and medical leave?

Employers with 50 or more employees are required to provide FMLA to their eligible employees.

How to fill out family and medical leave?

Employees can request FMLA leave by submitting a request to their employer with the necessary documentation.

What is the purpose of family and medical leave?

The purpose of FMLA is to balance the demands of the workplace with the needs of families, promote the stability and economic security of families, and allow employees to take leave for qualifying reasons.

What information must be reported on family and medical leave?

Information such as the reason for leave, start and end dates of leave, and any medical certification must be reported on FMLA paperwork.

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