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Get the free Expanded Family and Medical Leave Request Form (00082776).DOCX

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Expanded Family Leave Request Form Employee Name: Expected Start Date:Expected End Date:___ (initial) I confirm that I am caring for my child(men) whose school or place of care of the child has been
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How to fill out expanded family and medical

01
Obtain the necessary forms for the expanded family and medical leave from your employer or human resources department.
02
Fill out the forms completely and accurately, providing all requested information about your family member's medical condition and the nature of your relationship with them.
03
Attach any required supporting documentation, such as a doctor's note or medical records, to the forms before submitting them to your employer.
04
Make sure to follow any specific instructions or deadlines provided by your employer for submitting the forms and requesting leave.

Who needs expanded family and medical?

01
Expanded family and medical leave is typically needed by employees who have a family member with a serious health condition that requires their care and attention.
02
This can include caring for a spouse, child, parent, or other close family member who is ill or injured and needs support during their recovery.
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Expanded Family and Medical Leave refers to an expansion of the Family and Medical Leave Act (FMLA) that provides additional leave for specific reasons related to COVID-19.
Employers with fewer than 500 employees and certain public employers are required to provide expanded family and medical leave under the Families First Coronavirus Response Act (FFCRA). Employees may also be required to request this leave.
To fill out expanded family and medical leave, employees should request the leave from their employer and provide the necessary documentation to support their request. Employers should follow the guidelines provided under the FFCRA for administering this type of leave.
The purpose of expanded family and medical leave is to provide employees with additional time off for specified COVID-19 related reasons, such as caring for a child whose school or daycare is closed due to the pandemic.
Employees must provide information related to the reason for their leave request, such as the name and age of the child requiring care, the closure of the school or daycare, and any other relevant details.
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