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LOS ANGELES UNIFIED SCHOOL DISTRICT Policy Bulletin TITLE: Family and Medical Leave Act/California Family Rights Act Policy NUMBER: BUL-1205.1 ISSUER: Gregg Breed, Chief Risk Officer Division of Risk
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How to fill out family and medical leave

How to fill out family and medical leave?
01
Obtain the necessary forms: Begin by acquiring the applicable family and medical leave paperwork from your employer or human resources department. These forms typically include information about the type of leave you require, the duration of the leave, and any supporting documentation needed.
02
Complete personal details: Fill in your personal information, such as your name, address, employee identification number, and contact details. Ensure that all information is accurate and up to date.
03
Specify the type of leave: Indicate whether you are requesting family leave or medical leave. Family leave is typically used for the birth or adoption of a child, caring for a family member with a serious health condition, or dealing with exigencies related to a family member's military service. Medical leave, on the other hand, is used for your own serious health condition.
04
Provide detailed reasons: Explain the reasons for your leave request in clear and concise terms. If it is for family leave, specify the family member's relationship to you and the reasons necessitating your absence. In the case of medical leave, describe your medical condition and how it affects your ability to perform your job.
05
Attach supporting documentation: Depending on your situation, you may need to include supporting documents with your leave application. This could include medical records, birth certificates, adoption papers, or military deployment orders. Make sure to include any required documentation to strengthen your case.
06
Submit the form: Once you have completed all necessary sections and attached any required documents, submit the form to the appropriate department or individual within your organization. Follow any specific submission instructions provided by your employer.
07
Keep a copy for your records: Before submitting your leave application, make a copy for your own records. This will serve as proof of your submission and the information provided.
Who needs family and medical leave?
01
Employees: Family and medical leave is primarily designed for employees who need time off to take care of their family members or handle their own medical conditions. It provides them with job protection and continuation of benefits while they are on leave.
02
New parents: New parents, both mothers and fathers, may require family and medical leave to bond with their newborn or newly adopted child. This leave allows them the opportunity to create an environment conducive to their child's welfare.
03
Caregivers: Employees who need to care for a family member with a serious health condition can utilize family and medical leave. This includes caring for a child, spouse, parent, or in some cases, even a domestic partner.
04
Individuals with serious health conditions: Family and medical leave also accommodates employees who require time off due to their personal serious health condition. This can include illnesses, surgeries, or any other medical conditions that incapacitate them from performing their job duties.
05
Military families: Family and medical leave extends to employees who may need to take leave to handle situations that arise from a family member's active military service. It can be used for various reasons, such as deployment related activities or emergencies arising due to military obligations.
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What is family and medical leave?
Family and Medical Leave is a labor law requiring covered employers to provide employees with job-protected and unpaid leave for qualified medical and family reasons.
Who is required to file family and medical leave?
Employers with 50 or more employees are required to provide family and medical leave.
How to fill out family and medical leave?
Employees can usually fill out family and medical leave forms provided by their employer or HR department.
What is the purpose of family and medical leave?
The purpose of family and medical leave is to provide employees with the opportunity to take time off work for certain medical and family reasons without fear of losing their job.
What information must be reported on family and medical leave?
Information such as the reason for leave, start and end dates, and any supporting documentation may need to be reported on family and medical leave forms.
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