
Get the free EMPLOYMENT CONTINUATION FORM - umassd
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MASS DARTMOUTH OFFICE OF HUMAN RESOURCES Select One: Employment Continuation Employee ID: Entered By: Employee New Assignment EPF #: USE THIS FORM FOR EXISTING EMPLOYEES OR FORMER EMPLOYEES WHO HAVE
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How to fill out employment continuation form

How to fill out employment continuation form:
01
Start by filling out your personal information, such as your name, address, contact information, and social security number.
02
Next, provide details about your current employment status, including your job title, employer's name and address, and the date you started working for the company.
03
Indicate whether you are seeking a continuation of your employment due to a leave of absence, medical condition, or other circumstances by checking the appropriate box.
04
If applicable, provide any supporting documentation or information required to support your request for employment continuation, such as medical certificates or letters from your healthcare provider.
05
Review the form carefully to ensure all the information provided is accurate and complete.
06
Sign and date the form to certify that the information provided is true and accurate.
07
Finally, submit the completed form to the appropriate party, such as your employer's human resources department or benefits administrator.
Who needs employment continuation form:
01
Employees who are unable to work due to a leave of absence, medical condition, or other circumstances may need to fill out an employment continuation form.
02
This form is typically required by employers to gather necessary information and documentation to consider the employee's request for continued employment while they are unable to work.
03
The form allows employers to assess the employee's situation, evaluate their eligibility for continued employment, and make decisions regarding their employment status during the specified period.
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What is employment continuation form?
Employment continuation form is a document that allows an employee to continue their employment with a company after a specific event, such as a leave of absence or termination.
Who is required to file employment continuation form?
Employees who wish to continue their employment with a company after a certain event are required to file an employment continuation form.
How to fill out employment continuation form?
To fill out an employment continuation form, the employee needs to provide their personal information, the reason for continuation, and any relevant details.
What is the purpose of employment continuation form?
The purpose of the employment continuation form is to inform the company of the employee's intention to continue working after a specific event.
What information must be reported on employment continuation form?
The employment continuation form must include the employee's name, contact information, reason for continuation, and any supporting documentation.
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