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FACULTY FAMILY MEMBERS SERIOUS HEALTH CONDITION REQUEST FOR FAMILY MEDICAL LEAVE OF ABSENCE Instructions for Section I The Provosts Office of Faculty Affairs is responsible for processing faculty
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01
Obtain the necessary forms from the faculty or human resources department.
02
Fill out personal information such as name, contact information, and employee ID.
03
Provide details about the serious health condition, including diagnosis, symptoms, and treatment plan.
04
Attach any relevant medical documentation to support your claim.
05
Sign and date the form before submitting it to the appropriate department.

Who needs faculty serious health condition?

01
Employees who are experiencing a serious health condition that requires accommodations or leave from work.
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A faculty serious health condition refers to a medical condition of a faculty member that requires ongoing treatment or significantly impacts their ability to perform their job duties.
The faculty member experiencing the serious health condition or their designated representative is typically required to file the documentation.
To fill out a faculty serious health condition form, the faculty member should provide personal details, a description of the health condition, and any required medical documentation as specified by the institution’s policy.
The purpose of documenting a faculty serious health condition is to ensure that the faculty member is eligible for leave or accommodations under relevant laws and institutional policies.
Information that must be reported includes the faculty member's name, nature of the health condition, dates of medical treatment, and any impact on job performance.
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