Get Form 20-1923 - Cwa Local 2101 - Cwa2101

Filling out the Form 20-1923 is an essential step for employees seeking leave under the Family and Medical Leave Act (FMLA). This guide will provide you with clear instructions to effectively complete the form online, ensuring you understand each section and its implications.

Follow the steps to accurately complete the Form 20-1923 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your personal information. In Section A, accurately fill in your name, first day of absence, and any other required details. Be sure to check the appropriate reason for your leave.
3. Select the type of leave you are applying for, whether it's a new request, an extension, or categorically an on-the-job injury. Ensure you check all applicable boxes.
4. In Section B, ensure your healthcare provider completes the required information regarding your medical condition. This includes confirming whether your condition qualifies under FMLA regulations.
5. If applicable, request your healthcare provider to detail the duration of your incapacitation, any necessary follow-up appointments, and the expected schedule of future absences.
6. In Section C, if you are caring for a family member, provide their name, relationship to you, date of birth, and the required dates for your absence. Indicate whether you are taking full-time or intermittent leave.
7. Carry out a final review of the entire form for completeness and accuracy. Ensure all fields are filled out as required to avoid delays.
8. Save the completed form. You can download it for your records, print it for submission, or share it as needed.
9. Once finalized and reviewed, fax the completed form to the appropriate processing center as indicated in the instructions.

Complete your Form 20-1923 online to ensure a smooth filing process.