Get Msc 0113e Family And Medical Leave Request Bformb - Apps State Or

Filling out the MSC 0113e Family And Medical Leave Request Form is an essential process for individuals seeking leave under FMLA or OFLA. This guide provides clear, step-by-step instructions to assist users in completing the form efficiently and accurately.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the Family and Medical Leave Request Form in your preferred format.
2. In Section 1, provide your personal details, including your name, employee OR number, mailing address, email address, and phone number. This information is crucial for the HR department to process your request.
3. Indicate the division or unit you belong to, along with your union affiliation, if applicable. Print the name of your supervisor in the relevant field.
4. In Section 2, specify the dates of the leave you are requesting. Clearly state the start and end dates for continuous leave, as well as the dates for intermittent leave or reduced work schedule.
5. In Section 3, choose the type of request that accurately represents your situation. Options include leave for your own serious health condition, for a family member, pregnancy disability, parental leave, for a sick child, or bereavement leave. Be sure to identify the relationship to the family member and provide any necessary details such as age or expected due date.
6. Review Section 4 regarding the use of paid leave during your FMLA and/or OFLA leave. Select your preference for saving leave accruals based on your collective bargaining agreement and initial the appropriate option.
7. Sign and date the form in the designated area at the end of the document to certify that all information provided is accurate.
8. Once you have completed the form, save any changes you made. Download or print the form for your records and for submission.

Complete your Family and Medical Leave Request Form online to ensure your leave is documented and processed correctly.