Get Sufficient Certification To Support Your Request For Fmla Leave - Www3 Citadel

Completing the Sufficient Certification To Support Your Request For FMLA Leave is an important step for employees seeking family medical leave. This guide will provide clear instructions to help you navigate through the form and ensure your request is accurately submitted.

Follow the steps to successfully complete your FMLA leave request.

1. Press the ‘Get Form’ button to access the form, which you can then open in your preferred document editor.
2. Begin by printing your full name clearly in the designated field. This identifies you as the employee requesting leave.
3. Enter your social security number in the specified field to confirm your identity and eligibility for FMLA.
4. Select the reason for your request for intermittent leave or a reduced work schedule by marking the appropriate checkbox. Options include caring for a newborn, adopting a child, assisting a seriously ill family member, or addressing your own serious health condition.
5. Indicate when you would like the leave to begin and your anticipated return date. Ensure that these dates reflect your needs as accurately as possible.
6. List your department in the specified section. This information helps the HR department process your request more effectively.
7. If you wish to use your accrued sick or annual leave during your FMLA, check the appropriate box to indicate your preference for substituting leave.
8. Acknowledge the maintenance of health benefits coverage by checking the box if you understand your obligation to pay health insurance premiums while on unpaid leave.
9. State if you are attaching any required certifications from a healthcare provider by checking the relevant box and providing details if necessary.
10. Finally, sign and date the request at the bottom of the form, and ensure that your supervisor also signs and dates the form before submission.
11. After completing the form, save any changes, and use the options available to download, print, or share the form with HR or relevant personnel.

Complete your FMLA leave request online today to ensure timely processing and support for your needs.