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SERVICEMEMBER for whom the employee is requesting leave: (This section must be completed before any of the below sections can be completed by a health care provider.) PART A: EMPLOYEE INFORMATION Name and address of employer (this is the employer of the individual requesting leave to care for a covered servicemember): The School District of Palm Beach County Compensation & Employee Information Services 3300 Forest Hill Blvd., A-152 West Palm Beach, FL 33406 Provide name and ID number of employe.

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Military caregiver leave entitles an eligible employee who is the spouse, son, daughter, parent, or next of kin of a “covered servicemember” to take up to 26 workweeks of FMLA leave in a single 12-month period to care for a “covered servicemember” with a “serious injury or illness”.

A “qualifying exigency” includes: (1) short notice deployment (limited to seven calendar days from date notified of deployment); (2) attending military events and related activities; (3) childcare and school-related activities arising from the military member's covered active duty; (4) financial and legal arrangements ...

Short-Term Military Leave In order to qualify for payment, the employee must have at least one year of state service or a combination of active military service and state service equivalent to at least one year of service immediately prior to the effective date of the active military duty orders.

QUALIFYING EXIGENCY LEAVE ENTITLEMENTS Qualifying exigencies may arise when an employee's spouse, child, or parent is a member of the Armed Forces, including the National Guard and Reserves. For purposes of qualifying exigency leave, an employee's child refers to a child of any age.

For qualifying exigency leave, an eligible employee may take leave for his or her “son or daughter on active duty or call to active duty status,” which is defined as the employee's biological, adopted, or foster child, stepchild, legal ward, or child for whom the employee stood in loco parentis, who is on active duty ...

The caregiver leave provisions of the FMLA apply to caregivers for any member of the regular armed forces, as well as members in the National Guard or reserves. This provision is unique in that it provides up to 26 weeks of unpaid leave for the caregiver for each qualifying injury.

A "covered servicemember" is a current member of the Armed Forces, including a member of the National Guard or Reserves, who is undergoing medical treatment, recuperation, or therapy, is otherwise in outpatient status, or is otherwise on the temporary disability retired list, for a serious injury or illness incurred in ...

Since 1993, the FMLA has provided unpaid, job-protected leave for those living with a serious health condition, or caring for a family member with a serious health condition. The Military Family Leave provisions, first added to the FMLA in 2008, afford FMLA protections specific to the needs of military families.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232