Get University Of Alabama At Birmingham Family Medical Leave Of Absence Request Form 2018-2025

Navigating the Family Medical Leave Of Absence Request Form can be straightforward with the right guidance. This user-friendly guide will walk you through each section of the form, helping you provide the necessary information to request your leave effectively.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the Family Medical Leave Of Absence Request Form online and open it in the designated editor.
2. Begin by entering your full name, employee number, and department in the provided fields. Ensure that your home address, office phone, home phone, and email are correctly filled out to facilitate communication.
3. Indicate your requested leave start date and the end date if applicable. Choose whether you are requesting continuous/block leave or intermittent leave.
4. Select the type of leave by checking the appropriate box, such as employee’s illness or a family member’s illness. It is vital to provide the necessary documentation specified for each type of leave.
5. If applicable, fill out the section for Paid Parental Leave by selecting the type of leave you are requesting and providing estimated start and end dates. Also, include the expected leave hours for each day of the week if you are applying for intermittent or reduced schedule leave.
6. Sign and date the form, confirming that you have received the FMLA notice and understand your responsibilities regarding the leave.
7. If you are a supervisor, complete the supervisor section by acknowledging the request and providing your contact information.
8. Once you have filled out all sections, save any changes made to the form. You can then download, print, or share the completed document as needed.

Start filling out your Family Medical Leave Of Absence Request Form online today!