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U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of JAMES C. STATION and DEPARTMENT OF DEFENSE, ADMINISTRATIVE SUPPORT CENTER, Memphis, Tenn. Docket No. 96979; Submitted
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Start by entering your personal information in the designated fields, such as your full name, address, and contact information.
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Next, provide your Social Security Number and date of birth.
03
Indicate your employment status and current job position.
04
Specify the type of leave you are requesting and the reason for your absence, whether it's medical, family, or other eligible leave categories.
05
Include the start and end dates of your requested leave period.
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If applicable, provide any relevant documentation or supporting evidence for your leave request, such as medical certificates or court orders.
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Employers may also require their employees to complete this form when requesting leave, as it helps to assess and document the employee's eligibility and specific leave entitlements.
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The Department of Labor (DOL) may also require individuals to complete this form for record-keeping and compliance purposes, especially in cases of federally mandated leaves of absence like the Family and Medical Leave Act (FMLA).
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96-0979doc - dol is a form used to report specific information related to employee benefit plans.
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Employers who sponsor employee benefit plans are required to file 96-0979doc - dol.
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The purpose of 96-0979doc - dol is to ensure transparency and accountability in the administration of employee benefit plans.
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Information such as plan assets, participant contributions, and plan expenses must be reported on 96-0979doc - dol.
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