Get Mta Hr-ben-028 2020-2025

This guide provides a comprehensive overview of how to accurately fill out the MTA HR-BEN-028 form online. It will help you understand each section and field to ensure a smooth and correct submission of your Family and Medical Leave Act request.

Follow the steps to complete your application efficiently.

1. Press the ‘Get Form’ button to obtain the MTA HR-BEN-028 form and open it in the online editor.
2. Begin by providing your employee information in Section 2. Fill out your BSC ID, name, agency or department, job title, and contact information including address, phone numbers, and email address.
3. In Section 3, indicate the reason for your leave. Check only one box that accurately describes your situation, such as your own serious health condition or caring for a child due to a COVID-19 closure.
4. If applicable, complete Section 4 for COVID-19 childcare reasons. Include your child’s name and date of birth, as well as the name and address of the school or childcare institution.
5. In Section 5, specify your leave start and end dates. Make sure these dates align with the reason for your leave.
6. Section 6 requires you to specify the type of leave requested. Choose from intermittent, reduced schedule, or continuous leave. If selecting intermittent or reduced schedule, provide details on the requested schedule.
7. In Section 7, certify the information you have provided by signing and dating the form. Be aware that submitting false information can result in disciplinary action.
8. Lastly, in Section 8, check the box next to your agency's contact information to indicate where the completed form should be sent.

Complete your MTA HR-BEN-028 form online today to ensure your leave request is processed efficiently.