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Certification for Military Family Leave for Qualifying Exigency under the Family and Medical Leave Act. S. Department of Labor Wage and Hour Division___ DO NOT SEND FORM TO THE DEPARTMENT OF LABOR.

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How to fill out family and medical leave

01

Check if your employer is covered by the Family and Medical Leave Act (FMLA).

02

Determine if you are eligible for FMLA leave, based on factors such as the size of your employer and the length of your employment.

03

Request FMLA leave by submitting a formal request to your employer, including information about the reason for your leave and the expected duration.

04

Fill out the necessary FMLA paperwork provided by your employer, including certification from a healthcare provider if required.

05

Keep in communication with your employer throughout your FMLA leave, providing updates as necessary.

06

Return to work at the end of your FMLA leave, as agreed upon with your employer.

Who needs family and medical leave?

01

Employees who need to take time off work to care for a newborn or newly adopted child.

02

Employees who need to care for a family member who is suffering from a serious health condition.

03

Employees who are suffering from a serious health condition and need to take time off work to recover.

04

Employees who have a qualifying exigency related to a family member's military service.

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What is family and medical leave?

Family and Medical Leave is a labor law that allows employees to take unpaid leave for family or medical reasons.

Who is required to file family and medical leave?

Employees who meet certain criteria are required to file for family and medical leave.

How to fill out family and medical leave?

Employees can fill out family and medical leave forms provided by their employer or human resources department.

What is the purpose of family and medical leave?

The purpose of family and medical leave is to give employees time off for family or medical reasons without the risk of losing their job.

What information must be reported on family and medical leave?

Employees must report the reason for their leave, the duration of their leave, and any supporting documentation.

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