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Application for Emergency Family and Medical Leave (FMLA) Section 1: Employee Information (PLEASE PRINT OR TYPE) Employee Name:R#:Department:Job Title:Supervisor:Work Phone:Where I can be reached
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01
Download the covid-19-sick-fmla-vac-request-formpdf from the official website or HR department
02
Fill in your personal information such as name, address, contact details
03
Provide details about your medical condition or reason for requesting FMLA leave or vacation time
04
Include any supporting documentation such as medical records or doctor's notes
05
Submit the completed form to your HR department or supervisor for approval

Who needs covid-19-sick-fmla-vac-request-formpdf?

01
Employees who are requesting FMLA leave for covid-19 related reasons
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Employees who are requesting vacation time for covid-19 related reasons
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Anyone who is required by their employer to fill out the form for covid-19 related purposes
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It is a form used to request sick leave, FMLA, or vacation time related to Covid-19.
Employees who need to request sick leave, FMLA, or vacation time related to Covid-19 are required to file this form.
The form should be filled out with the required information such as personal details, reason for leave, dates requested, and any supporting documentation.
The purpose of the form is to formally request sick leave, FMLA, or vacation time specifically related to Covid-19.
The form requires information such as employee details, reason for leave, dates requested, and any relevant supporting documentation.
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