Family medical leave form va
[DOCX File]Certification of Need for Leave to Care for Military ...
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– Note to Employee: If this box is checked, you may still be eligible to take leave to care for a covered family member with a “serious health condition” under the FMLA, in which case you may need to complete a Certification of Health Care Provider for Family Member’s Serious Health Condition form.
[DOCX File]EMERGENCY PAID SICK LEAVE REQUEST FORM FOR COVID …
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EMERGENCY PAID SICK LEAVE REQUEST FORM FOR COVID-19-RELATED LEAVE. Effective for requests made on or after April 1, 2020 through December 31, 2020. Date: Employee. ID: Name (please print): Employee. Title/Position: Employee. Supervisor: I am unable to work, including engaging in telework and would like to request emergency paid sick leave because
[DOCX File]REQUEST FOR PERSONAL LEAVE OF ABSENCE
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You must indicate the specific reason for the leave of absence from the choices below: 1. I have been diagnosed, quarantined, recommended for quarantine by my health care provider, or experiencing symptoms of COVID-19 and seeking a diagnosis (provide medical documentation to …
[DOCX File]Image of the VA Seal
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Family and Medical Leave Act (FMLA) Coverage of Same-Sex Spouses On June 26, 2013, the Supreme Court ruled that Section 3 of the Defense of Marriage Act (DOMA) is unconstitutional. This ruling impacts the definition of spouse found in the U.S. Office of Personnel Management's (OPM) Family and Medical Leave Act (FMLA) regulations.
[DOC File]Date:
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Type of Leave Approved: Leaves in this section require approval at all levels. A copy of this form must be submitted to the Civil Service / Personnel Office with required documentation. ( ) Military Leave (ML) ( ) 60-Days Other Leave Without Pay (OL) ( ) Family Medical Leave Without Pay (OL) ( ) Administrative Approved Leave (AL)
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