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Clear formFAMILY and MEDICAL LEAVE REQUEST (for GTRI use only)To be completed by employee:DateEmployee nameSocial Security Number Supervisor or Dept. HeadJob titleEligible employees are entitled under

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What is family and medical leave?

Family and medical leave refers to the right of employees to take time off from work for specific family and medical reasons while maintaining job protection and benefits.

Who is required to file family and medical leave?

Employees who wish to take family and medical leave must file a request, which may include full-time and part-time workers covered under the Family and Medical Leave Act (FMLA).

How to fill out family and medical leave?

To fill out family and medical leave, employees should complete the required forms, often provided by their employer, detailing the reason for the leave and any required medical documentation.

What is the purpose of family and medical leave?

The purpose of family and medical leave is to allow employees to take time off for serious health conditions, to care for a family member, or for childbirth and adoption without fear of losing their job.

What information must be reported on family and medical leave?

Employees must report their name, the dates of the leave, reasons for the leave, and any relevant medical documentation as required by their employer.

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