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Pequannock Township School District FAMILY AND MEDICAL LEAVE ACT (hereinafter FMLA) & NEW JERSEY FAMILY LEAVE ACT (hereinafter N.J. FLA) REQUEST FORM TO: Dr. Maria Nuccetelli Interim Superintendent
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How to fill out leave of absence request

How to fill out a leave of absence request:
01
Obtain a leave of absence request form from your employer or human resources department. This form will typically include sections for personal information, leave dates, and reason for requesting the leave.
02
Begin by filling out your personal information, such as your name, employee ID, department, and contact details. Make sure to double-check the accuracy of this information to avoid any communication issues.
03
Next, indicate the dates you will be requesting for your leave. Be specific and provide the start and end date of your absence. If you are uncertain about the exact dates, you can include an estimated timeframe.
04
In the reason section, clearly state the purpose or nature of your absence. This could include medical reasons, personal or family obligations, vacation, or any other relevant circumstances. Provide a brief explanation to help your employer understand the rationale behind your request.
05
If applicable, attach any supporting documentation to strengthen your case. This could include a doctor's note, court summons, or any other relevant paperwork that validates the reason for your absence.
06
Before submitting the form, review all the information you have provided. Ensure that it is accurate, clear, and complete. Any mistakes or omissions may cause delays or confusion in processing your request.
07
Submit the completed leave of absence request form to the designated individual, department, or email address. Follow any additional procedures or protocols outlined by your employer in terms of submission and notification.
08
Keep a copy of your filled-out form for your records. This can be useful for future reference or to address any potential complications or inquiries related to your leave of absence request.
Who needs a leave of absence request:
01
Employees who need time off from work for medical reasons, whether it is for their own health issues or to care for a family member.
02
Individuals taking a sabbatical or extended vacation.
03
Employees who need time off due to personal or family emergencies such as a death in the family or a natural disaster.
04
Those who require a leave of absence for military service or jury duty.
05
Employees who are planning to pursue educational or professional development opportunities.
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What is leave of absence request?
A leave of absence request is a formal document or process that employees use to request time off from work.
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 with their employer.
How to fill out leave of absence request?
Employees can fill out a leave of absence request by providing information such as the reason for the leave, the dates requested, and any supporting documentation.
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 to ensure that both the employee and the employer are aware of the upcoming absence.
What information must be reported on leave of absence request?
Information that must be reported on a leave of absence request includes the reason for the leave, the dates requested, any supporting documentation, and contact information.
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