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Office of Human Resources Phone 952.681.6440 Fax 952.681.6449Educational Services Center 1350 West 106th Street Bloomington, MN 554314126 www.bloomington.k12.mn.usINSTRUCTIONS: This form should only
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Download the ffcra-leave-form-3pdf from the official website or request a copy from your employer.
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Fill in all the required fields with accurate and up-to-date information.
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Make sure to include the start and end dates of your leave, as well as the reason for taking leave under the FFCRA.
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Employees who are eligible for leave under the Families First Coronavirus Response Act (FFCRA) need to fill out the ffcra-leave-form-3pdf.
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ffrca-leave-form-3pdf is a form required for employees to request leave under the Families First Coronavirus Response Act (FFCRA).
Employees who are requesting leave under the Families First Coronavirus Response Act (FFCRA) are required to file ffcra-leave-form-3pdf.
To fill out ffcra-leave-form-3pdf, employees need to provide their personal information, type of leave requested, and any supporting documentation.
The purpose of ffcra-leave-form-3pdf is to request and document leave under the Families First Coronavirus Response Act (FFCRA) for eligible employees.
The information reported on ffcra-leave-form-3pdf includes employee's name, employer's information, type of leave requested, and duration of leave.
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