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Request for Family or Medical Leave (PLEASE PRINT) Request for Family or Medical Leave should be made, if practical, at least 30 days prior to the date the requested leave is to begin. Name___Date___School___Title___Status:
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How to fill out family and medical leave

01
Obtain the necessary FMLA forms from your employer or human resources department.
02
Review the eligibility requirements to ensure you qualify for FMLA.
03
Complete the required sections of the FMLA forms, providing detailed information about your situation and the reason for requesting leave.
04
Submit the completed forms to your employer within the designated timeframe.
05
Communicate with your employer throughout the FMLA process to ensure compliance with all policies and procedures.

Who needs family and medical leave?

01
Employees who need to take time off work to care for a newborn child, newly adopted child, or foster child.
02
Employees who need to care for a spouse, child, or parent with a serious health condition.
03
Employees who have a serious health condition that requires them to take time off work for medical treatment.
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Family and medical leave is a federal law that allows eligible employees to take up to 12 weeks of unpaid leave for certain family and medical reasons.
Employers with 50 or more employees are required to provide family and medical leave to eligible employees.
Employees can fill out the necessary paperwork provided by their employer and submit it to their HR department.
The purpose of family and medical leave is to allow employees to take time off work for family and medical reasons without fear of losing their job.
Employees must report the reason for their leave, the expected duration, and any supporting documentation, such as a doctor's note.
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