Family and medical leave form

    • [DOCX File]Washington, D.C.

      https://info.5y1.org/family-and-medical-leave-form_1_7b31fd.html

      Family Medical Leave Application Form | DCSF No. FML-01 (Rev 07/2020)Page 1 of 3. Before you begin your application, to the extent possible, please ensure that you have the required supporting documents completed and readily available for submission. A list of the required documents is provided at …

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    • [DOCX File]Family and Medical Leave Act – Employee Request

      https://info.5y1.org/family-and-medical-leave-form_1_664ace.html

      FAMILY AND MEDICAL LEAVE (FMLA) REQUEST. ... All requests for FMLA must be submitted as promptly as possible after you become aware of a need for leave. Failure to notify your employer in a timely manner according to agency procedures may result in a delay in the processing of your FMLA. ... be entered on this form: ...

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    • [DOCX File]Request for Expanded FMLA Leave (Coronavirus)

      https://info.5y1.org/family-and-medical-leave-form_1_869112.html

      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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    • [DOC File]Family and Medical Leave Request Form

      https://info.5y1.org/family-and-medical-leave-form_1_9ba685.html

      For medical absences, including reduced schedule or incapacity of greater than 5 days, or other LOA’s of any duration. this form should be completed and submitted to Human Resources at least 30 days before the leave is to commence, if the need for leave is foreseeable.

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