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Health Care Provider For A Covered Servicemember Certification
Get Health Care Provider For A Covered Servicemember Certification
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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Recuperation FAQ
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.
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 ...
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.
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 ...
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.
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.
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 ...
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”.
Imminently Related content
WH-385 (.pdf)
A complete and sufficient certification to support a request for FMLA leave due to a...
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