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FMLA/KCFML Leave Request - King County
Leave due to conditions covered by workers' compensation may also qualify as FMLA leave. If you are eligible to receive workers’ compensation time-loss benefits while on FMLA, you must elect at the beginning of your FMLA leave whether to supplement these benefits with accrued sick leave and other paid accruals (vacation/benefit time/comp time).
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[DOCX File]FMLA Notification Letter
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FMLA Initial Ineligibility Letter: Less Than 12 Months of Service and/or Less Than 1,250 Hours Worked (edit the first paragraph as applicable) DATE. Employee Name. Employee Address. CITY, ST, ZIP. Dear EMPLOYEE, We have reviewed your request for leave under the FMLA and supporting documentation you have provided.
certificate of health care provider form

[DOC File]FMLA LEAVE REQUEST COVER LETTER
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Please complete the employee section of the Leave of Absence Request and Section II of the enclosed Certification. Also, please have your family member’s health care provider complete Section III of the Certification. All forms to be completed should be returned to …
2021 fmla form

[DOCX File]Request for Expanded FMLA Leave (Coronavirus)
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Request for Expanded FMLA Leave Form (COVID-19). To request expanded FMLA leave as provided under the Families First Coronavirus Response Act and the Expanded Family and Medical Leave Policy, please complete the following request form and submit to your human resources department as soon as possible before leave commences.
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[DOCX File]FMLA COVID-19 Request Form - FINAL (03697882).DOCX
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FMLA ELIGIBILITY SUPPLEMENTAL FORM FOR COVID-19-RELATED LEAVE. Effective for such requests made on or after April 1, 2020 through December 31, 2020. The Families First Coronavirus Response Act, enacted on March 18, 2020, increases employee access to Family and Medical Leave Act (FMLA) leave to cover leave requests related to the COVID-19 pandemic.
certification of health care form

[DOCX File]Documentation Needed for EPSL or EFMLA - COVID-19: You ...
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Please note that in accordance with the Department of Labor (DOL) and the Internal Revenue Service’s (IRS) guidelines, management may request for you to produce documentation proving that you qualify for Emergency Sick Leave or Expanded FMLA prior to approving your leave request. Employee Name:_____Date: _____
requesting fmla paperwork from an employee

Department of labor fmla paperwork forms