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FMLA Certification of Qualifying Exigency For Military Family Leave HRBEN071 Section I Information and Instructions The purpose of this form is to submit the required documentation for your FMLA request.

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How to fill out certification of qualifying exigency

01

Obtain the certification of qualifying exigency form from the relevant authority.

02

Fill out the personal information section including your name, address, and contact information.

03

Provide details about the qualifying exigency you are requesting leave for, such as the name and relationship of the covered military member.

04

Complete the certification section by signing and dating the form.

05

Submit the completed form to your employer or benefits provider as required.

Who needs certification of qualifying exigency?

01

Employees who are requesting leave under the Family and Medical Leave Act (FMLA) for a qualifying exigency related to covered military members.

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What is certification of qualifying exigency?

Certification of qualifying exigency is a form used to request leave under the Family and Medical Leave Act (FMLA) for qualifying exigencies related to covered military service.

Who is required to file certification of qualifying exigency?

Employees who need to take FMLA leave for qualifying exigencies related to covered military service are required to file certification of qualifying exigency.

How to fill out certification of qualifying exigency?

Certification of qualifying exigency should be filled out by completing the required information about the employee, the qualifying exigency, and any supporting documentation.

What is the purpose of certification of qualifying exigency?

The purpose of certification of qualifying exigency is to provide documentation to support an employee's request for FMLA leave for military-related exigencies.

What information must be reported on certification of qualifying exigency?

Information such as the employee's name, the military member's name, the type of qualifying exigency, and the dates of the exigency must be reported on certification of qualifying exigency.

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