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Medical Leaves Administration East Hill Office Building Suite 130 395 Pine Tree Rd., Ithaca, NY 14850 Tel/Fax: (607) 2551136 rmt224@cornell.edu www.hr.cornell.eduPersonal Medical Leave Request Form(Use

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How to fill out personal medical leave request

01

Obtain the necessary medical documents from your healthcare provider that supports the need for medical leave.

02

Fill out the personal medical leave request form provided by your employer, including your personal information, dates of requested leave, and reason for the leave.

03

Submit the completed form and medical documents to your HR department or direct supervisor.

04

Follow up with HR or your supervisor to ensure that your request is being processed and approved.

Who needs personal medical leave request?

01

Employees who need to take time off work due to their own medical conditions or to care for a sick family member.

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What is personal medical leave request?

A personal medical leave request is a formal document submitted by an employee to their employer, seeking permission to be absent from work due to medical reasons.

Who is required to file personal medical leave request?

Employees who need to take time off for their own medical condition or to care for a family member with a medical issue are typically required to file a personal medical leave request.

How to fill out personal medical leave request?

To fill out a personal medical leave request, an employee should provide their personal information, the nature of the medical issue, the requested leave dates, and any supporting documentation as required by company policy.

What is the purpose of personal medical leave request?

The purpose of a personal medical leave request is to formally inform the employer of the need for leave due to health issues while ensuring compliance with company policies and labor laws.

What information must be reported on personal medical leave request?

Essential information typically includes the employee's name, contact information, details of the medical condition, the start and end dates of the requested leave, and any supporting medical documentation.

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