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FAMILY AND MEDICAL LEAVE HANDBOOK Miller Place FSD FMLA Handbook 202122Page 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 family and medical leave

01

Obtain the necessary forms from your employer or HR department.

02

Fill out the personal information section including your name, address, and employee identification number.

03

Provide information about your medical condition or that of your family member that requires leave.

04

Indicate the type of leave you are requesting (e.g. family leave, medical leave).

05

Provide documentation from a healthcare provider if required.

06

Submit the completed form to your employer within the specified timeframe.

Who needs family and medical leave?

01

Employees who need to care for a newborn or newly adopted child.

02

Employees dealing with a personal serious health condition.

03

Employees who need to care for a family member with a serious health condition.

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What is family and medical leave?

Family and Medical Leave is a federal law that requires certain employers to provide employees with job-protected and unpaid leave for qualified medical and family reasons.

Who is required to file family and medical leave?

Employers with 50 or more employees are required to provide family and medical leave under the law.

How to fill out family and medical leave?

Employees can request family and medical leave by submitting a request to their employer, along with any necessary medical documentation.

What is the purpose of family and medical leave?

The purpose of family and medical leave is to allow employees to take time off work for their own serious health conditions, to care for a family member with a serious health condition, or for the birth or adoption of a child.

What information must be reported on family and medical leave?

Employers are required to report the dates of the leave taken by an employee, the reason for the leave, and any relevant medical information.

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