Get University Of Utah Electronic Fmla Form

This guide provides a comprehensive overview of the process for completing the University Of Utah Electronic Fmla Form online. It is designed to assist users in understanding each section of the form and ensure that all required information is provided accurately.

Follow the steps to complete the form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the digital editor.
2. Begin by entering your employee information. Fill in your name, employee ID number, address, city, email address, home phone number, department, work phone, supervisor's name, supervisor's phone number, payroll reporter's name, and payroll reporter's phone number. Ensure all information is accurate and complete.
3. Select the reason for your FMLA request by checking the appropriate box. Options include serious health condition, maternity, paternity, adoption, foster care placement, or other specified needs.
4. Indicate the start date of your leave and, if known, the end date. For serious health conditions, be sure to reference the dates provided by your healthcare provider.
5. Choose how you would like to use your vacation accruals during your leave. You may select to use all available vacation or specify the number of hours or days you wish to retain.
6. Read and acknowledge the employee certification section. Confirm that you understand the requirements and responsibilities for your leave request, including advance notice and the necessity for a completed Certification of Healthcare Provider, if applicable.
7. Sign and date the form in the designated employee signature section.
8. If required, the supervisor will review the request and provide their acknowledgment by signing and dating the supervisor's section.
9. After completing all sections, review your entries for accuracy. Finally, save changes, download, print, or share the form as needed.

Complete your University Of Utah Electronic Fmla Form online today to ensure timely processing of your leave request.