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Certification of Health Care Provider for Employees Serious Health Condition (Family and Medical Leave Act)THE CITY UNIVERSITY OF NEW YORKCUNY School of Law SECTION I: For Completion by the EMPLOYER

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How to fill out family and medical leave

01

Verify if you are eligible for family and medical leave based on your employer's policies and the Family and Medical Leave Act.

02

Obtain the necessary paperwork from your employer or HR department.

03

Fill out the required forms with accurate information, including details about the reason for requesting the leave and the duration of the leave.

04

Submit the completed forms to your employer within the specified timeline.

05

Follow up with your employer to ensure that your request is processed and approved in a timely manner.

Who needs family and medical leave?

01

Employees who need time off work to care for a new child (including birth, adoption, or foster care placement), care for a family member with a serious health condition, or recover from their own serious health condition may need family and medical leave.

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What is family and medical leave?

Family and medical leave allows employees to take an extended leave of absence for family or medical reasons.

Who is required to file family and medical leave?

Employees who are eligible under the Family and Medical Leave Act (FMLA) are required to file for family and medical leave.

How to fill out family and medical leave?

Employees can fill out the necessary paperwork provided by their employer or HR department to request family and medical leave.

What is the purpose of family and medical leave?

The purpose of family and medical leave is to provide employees with job-protected leave for various family and medical reasons.

What information must be reported on family and medical leave?

Employees must report the reason for their leave, anticipated duration, and any supporting documentation such as a doctor's note.

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