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FAMILY AND MEDICAL LEAVE HANDBOOK Miller Place FSD FMLA Handbook 202021Page 1 of 13Miller Place Union Free School District 7 Memorial Drive, Miller Place, New York 117642036 Telephone: (631) 4742700
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How to fill out form family and medical

01
Obtain the Family and Medical Leave form from your employer or HR department.
02
Fill out your personal information including name, employee ID, and contact information.
03
Specify the reason for the leave (such as caring for a family member or a personal medical condition).
04
Provide the dates you will be taking the leave and the expected duration.
05
Attach any necessary documentation such as a doctor's note or proof of relationship for family care.
06
Submit the completed form to your employer within the designated timeline.

Who needs form family and medical?

01
Employees who need to take time off work for family or medical reasons.
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Form family and medical, also known as FMLA (Family and Medical Leave Act) is a labor law that requires covered employers to provide employees with job-protected and unpaid leave for qualified medical and family reasons.
Employees who are eligible for FMLA leave and are requesting time off for qualifying medical or family reasons are required to file form family and medical.
Form family and medical can be filled out by providing information about the employee, the reason for leave, the duration of leave, and any additional documentation required by the employer.
The purpose of form family and medical is to ensure that employees are able to take time off work for qualifying medical and family reasons without the risk of losing their job.
The information required on form family and medical includes the employee's name, employee ID, reason for leave, anticipated start and end dates of leave, and any supporting documentation.
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