Employee Medical Leave Request Form

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FMLA: Forms | U.S. Department of Labor - DOL

https://www.dol.gov/agencies/whd/fmla/forms

Qualifying Exigency, form WH-384 – use when the leave request arises out of the foreign deployment of the employee’s spouse, son, daughter, or parent. Military Caregiver Leave of a Current Servicemember, form WH-385 – use when requesting leave to care for a family member who is a current service … See more

Family and Medical Leave (FMLA) | U.S. Department of …

https://www.dol.gov/general/topic/benefits-leave/fmla

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health …

FMLA Leave Request Form - FTDC

https://www.ftdc.us/wp-content/uploads/2021/05/fmla-leave-request-form.pdf

(Family/Medical Leave Request Form) Eligible employees are entitled under the Family and Medical Leave Act (FMLA) to take up to 12 or 26 weeks of job-protected leave for …

Employee Leave Forms | Human Resources

https://hr.uoregon.edu/employee-leave-forms

The following forms are used to process employee leaves: Protected Leave Request form (FMLA/OFLA) Medical Certificate form--Employee. Medical Certificate form--Family. …

Request for Leave or Approved Absence - United …

https://www.opm.gov/forms/pdf_fill/opm71.pdf

Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN)) …

Leave of Absence Request Form (Form 1001) | Human …

https://hr.duke.edu/forms/benefits/leave-absence-request-form

Leave of Absence Request Form (Form 1001) The Leave of Absence Request form is completed by the employee requesting a leave of absence and submitted to their …

FREE 8+ Employee Leave Form Samples

https://www.docformats.com/employee-leave-form-samples-and-templates/

Below are some of the things that never miss out in any leave form: Name of the company – This is the name of the company that is issuing out the leave. Obviously, the …

Leaves Forms | Human Resources

https://hr.ucdavis.edu/forms/leaves

Apr 6, 2022

HR Forms & Checklists - SHRM

https://www.shrm.org/ResourcesAndTools/tools-and-samples/hr-forms/Pages/default.aspx

Why start from scratch on your HR forms? Whether you need a performance appraisal form, a new-hire survey, or a nondisclosure agreement, we've got it.

Family and Medical Leave of Absence Request

https://www.tbr.edu/sites/default/files/forms/2014/08/FMLA-Absence%20Request.pdf

I request the following forms for my FMLA leave of absence: 1. Certification of Health Care Provider: This form is to be completed by either my health care provider (if this leave is …

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