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Page 1 of 2 OMB Control Number: 12350003 Expires 8/31/2021EXTENDED LEAVE OF ABSENCE, NOTICE OF ELIGIBILITY, AND RIGHTS & RESPONSIBILITIES (TEAMS, Faculty and/or OPS)Employee Name: ___RFID: ___Department:

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How to fill out extended leave of absence

01

Make sure to review company policies and procedures regarding extended leaves of absence.

02

Complete any necessary forms or documentation required by your employer.

03

Provide a detailed explanation for why you are requesting an extended leave of absence.

04

Submit your request to the appropriate department or individual within your company.

05

Communicate with your employer about your plans for while you are on leave and how you intend to stay in touch or updated on work matters.

06

Follow up with any additional information or documentation that may be requested during the approval process.

Who needs extended leave of absence?

01

Employees who are experiencing a serious medical condition or illness that requires an extended period of time off work.

02

Employees who need to care for a sick family member or loved one.

03

Employees who are dealing with a personal crisis or family emergency.

04

Employees who are pursuing further education or training opportunities.

05

Employees who are taking an extended sabbatical for personal or professional development.

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What is extended leave of absence?

Extended leave of absence is a period of time that an employee is granted off work beyond their regular vacation and sick leave.

Who is required to file extended leave of absence?

Employees who need to take an extended leave of absence are required to file for it with their employer.

How to fill out extended leave of absence?

To fill out an extended leave of absence, employees typically need to submit a formal request to their employer outlining the reason for the leave and the expected duration.

What is the purpose of extended leave of absence?

The purpose of extended leave of absence is to allow employees to take an extended break from work for personal or health reasons.

What information must be reported on extended leave of absence?

When filing for extended leave of absence, employees must typically report the reason for the leave, the expected duration, and any relevant medical documentation.

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