Employee Medical Leave Forms

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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 member wit… 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 …

Family and Medical Leave Act | U.S. Department of …

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

The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health …

Employment Laws: Medical and Disability-Related Leave

https://www.dol.gov/agencies/odep/publications/fact-sheets/employment-laws-medical-and-disability-related-leave

Covered individuals: Employees are eligible to take FMLA leave if they have worked for their employer for at least 12 months, and have worked for at least 1,250 hours over the …

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. …

FREE 8+ Employee Leave Form Samples & Templates

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 company here refers to the one in which the …

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

https://www.dol.gov/general/topic/workhours/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 …

Request for Leave or Approved Absence - United …

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

Employee or Social Security Number (Enter only the ... If annual leave, sick leave, or leave without pay will be used under the Family and Medical Leave Act of 1993, please provide …

Paid Family and Medical Leave documents and forms for …

https://www.mass.gov/lists/paid-family-and-medical-leave-documents-and-forms-for-massachusetts-employees

Certification of your Family Member's Serious Health Condition form (PDF 682.71 KB) You, the employee, and your family member's health care provider must fill …

Medical Leave - Michigan

https://www.michigan.gov/mdcs/disability-gateway/dmo-home/loa/medical-leave

Leave of Absence. Medical Leave. When you are unable to perform the functions of your position due to a serious health condition, it is important to take time off work. When you …

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