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Certification of Qualifying Exigency For Military Family Leave (Family and Medical Leave Act)U.S. Department of Labor Wage and Hour DivisionOMB Control Number: 12350003 Expires: 5/31/2018SECTION I:
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How to fill out fmla military leave form

01
Obtain the FMLA military leave form from your employer or HR department.
02
Fill out your personal information, such as name, address, and contact information.
03
Indicate the dates and duration of the military leave you are requesting.
04
Provide documentation or proof of the military service, such as orders or deployment papers.
05
Sign and date the form before submitting it to your employer for approval.

Who needs fmla military leave form?

01
Employees who are covered under the Family and Medical Leave Act (FMLA) and need to take time off for military service or related activities.
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FMLA military leave form is a document that allows eligible employees to take up to 12 weeks of unpaid leave to address qualifying exigencies related to a covered military member's active duty or call to active duty status.
Employees who meet the eligibility requirements under the Family and Medical Leave Act (FMLA) are required to file FMLA military leave form.
To fill out FMLA military leave form, employees need to provide information about their relationship to the military member, the reason for the leave, and the duration of the leave requested.
The purpose of FMLA military leave form is to allow eligible employees to take leave to address qualifying exigencies related to a covered military member's active duty or call to active duty status.
The FMLA military leave form must include information such as the employee's relationship to the military member, the date the qualifying exigency commenced, and a description of the qualifying exigency.
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