Get Fact Sheet #28m(c): Qualifying Exigency Leave Under The ...

Filling out the Fact Sheet #28M(c): Qualifying Exigency Leave Under The FMLA can seem complex, but this guide will provide you with clear, step-by-step instructions to ensure your application is completed accurately. By following these instructions, you will be better equipped to submit your request for leave and receive the benefits you may be entitled to.

Follow the steps to complete the form accurately and effectively.

1. To begin, locate the form by clicking the 'Get Form' button, which allows you to access and open the document for completion.
2. In Section I - Information and Instructions, read the instructions carefully. Take note that you must submit the necessary documentation for your FMLA request in a timely manner. Be specific in your responses regarding the frequency or duration of the qualifying exigency.
3. Move to Section II - Employee Information. Fill in your information starting with your printed name, BSC ID, agency/dept., and job title. Provide your contact details and the name of the covered military member including their relationship to you. Ensure this section is fully completed.
4. In Part A: Qualifying Reason for Leave, describe the specific reason for your leave request. Provide any supporting documentation you have. This might include military meeting announcements, appointment confirmations, or bills related to legal or financial matters.
5. In Part B: Amount of Leave Needed, indicate the approximate start date of the exigency and its probable duration. Clearly state if you need to be absent for a single continuous period or periodically, including specific dates if possible.
6. In Part C, if your leave is related to meetings with a third party, include their contact information. Detail the nature of the meeting as required.
7. Finally, sign and date the form in Section II – Employee Signature, acknowledging that fraudulent application can lead to disciplinary action. Review your information for accuracy before submission.
8. Ensure that you send this completed form to the appropriate agency representative as listed in Section III. Check the selected agency box and include any necessary attachments.
9. After reviewing, you can save changes, download, print, or share the completed form as required.

Ensure your FMLA leave application is completed online today to secure the support you need.