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Leave of Absence Request Form FMLA and/or Short Term Disability Employee Section: (Employee to complete this form and forward to Supervisor/Principal for signature) (Please Print) Name: Date: Home/Cell

How to fill out leave of absence request

How to fill out a leave of absence request:

1. Start by obtaining a leave of absence request form from your company or organization's human resources department. This form may also be available online on your company's website.
2. Begin by filling in your personal information, such as your full name, employee ID number, department, and contact details. This ensures that the request is properly linked to your profile.
3. Clearly state the reason for your leave of absence request. Whether it is for medical reasons, personal reasons, or any other valid circumstances, provide a concise and detailed explanation.
4. Specify the duration of your requested absence. Include the exact start and end dates of the leave, as well as any additional details such as half-day requests or intermittent leave.
5. If applicable, indicate whether you plan to exhaust any accrued vacation or sick days during your absence. Some organizations require employees to use their paid time-off before considering an unpaid leave of absence.
6. Check if your company requires any supporting documentation or medical certificates related to your absence. If so, make sure to provide these documents along with your request.
7. Review your completed leave of absence request form thoroughly to ensure all information is accurate and complete. Double-check dates, contact details, and any additional information you have provided.

Who needs a leave of absence request:

1. Employees seeking a prolonged period away from work due to personal reasons, medical reasons, or other valid circumstances often need to submit a leave of absence request.
2. Working parents may require leave time to care for a newborn, newly adopted child, or a sick child.
3. Employees dealing with their own health issues, scheduled medical procedures, or rehabilitation may need to request a leave of absence to focus on their recovery and well-being.
4. Family emergencies, the need to attend to elderly parents or relatives, or other unforeseen personal situations may require an employee to submit a leave of absence request.

Remember, the specific policies and procedures for requesting a leave of absence may vary between companies and organizations. Always consult your employer's policies or speak with your human resources department for precise instructions on how to fill out a leave of absence request.

For pdfFiller’s FAQs

What is leave of absence request?

A leave of absence request is a formal application submitted by an employee to request time off from work for a specific period.

Who is required to file leave of absence request?

All employees who wish to take time off from work are required to file a leave of absence request.

How to fill out leave of absence request?

Employees can fill out a leave of absence request form provided by their employer, or submit a written request detailing the dates and reason for their requested time off.

What is the purpose of leave of absence request?

The purpose of a leave of absence request is to formally request time off from work and ensure that the employer has sufficient notice to make necessary arrangements.

What information must be reported on leave of absence request?

The leave of absence request should include the dates of the requested time off, the reason for the request, and any relevant supporting documentation.

How can I send leave of absence request to be eSigned by others?

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