Get Fl School Board Of Broward County Form 4553a 2022-2025

Filling out the FL School Board Of Broward County Form 4553A online can streamline your request for family or medical leave. This guide provides clear, step-by-step directions to ensure you complete the form correctly and efficiently.

Follow the steps to complete the form smoothly.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering your personal details in the designated fields, including your name, personnel number, address, cellular number, city/state/zip, and other telephone number.
3. Next, specify the school or department name along with your position in the appropriate fields.
4. Select the reason for your leave by checking one of the options provided under either Family Leave or Medical Leave. Ensure you choose the correct category that applies to your situation.
5. Indicate the specific dates for the leave request, including both the start and end dates. Fill in the number of paid and unpaid days used for the leave duration accurately.
6. Provide a brief explanation regarding your request in the explanation field as every request must contain this information.
7. Sign and date the form to confirm your request, acknowledging that not returning to work after the leave period will be treated as a voluntary termination.
8. If applicable, ensure that the principal or department head signs the form to confirm the application is provisionally placed on Family/Medical Leave pending review.
9. Once completed, save your changes, and you can then download, print, or share the form as needed for submission.

Complete your documents online today for a smoother process.