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Lactation Accommodation Request Form In accordance with Contra Costa Counties Lactation Accommodation Administrative Bulletin, employees who request lactation accommodation for their infant child

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How to fill out lactation accommodation request form

01

Obtain the lactation accommodation request form from your HR department or supervisor.

02

Fill out your personal information such as name, employee ID, and contact details.

03

Specify the dates and times when you will need access to the lactation accommodation.

04

Provide any additional details or special requirements you may have.

05

Sign and date the form before submitting it to the appropriate person or department.

Who needs lactation accommodation request form?

01

Employees who are nursing mothers and require a private space to express breast milk while at work.

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What is lactation accommodation request form?

Lactation accommodation request form is a document that employees can use to request accommodations for lactation needs in the workplace.

Who is required to file lactation accommodation request form?

Employees who are nursing mothers and require accommodations for lactation in the workplace are required to file the lactation accommodation request form.

How to fill out lactation accommodation request form?

To fill out the lactation accommodation request form, employees need to provide their personal information, details of their lactation needs, and any supporting documentation.

What is the purpose of lactation accommodation request form?

The purpose of the lactation accommodation request form is to ensure that nursing mothers have access to accommodations for lactation needs in the workplace.

What information must be reported on lactation accommodation request form?

The lactation accommodation request form must include the employee's name, contact information, work schedule, and details of the requested accommodations.

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