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Telephone ( ) FAX: ( ) SECTION I: Instructions for Completion by DEPARTMENT Please complete the above return address and Section I before giving this form to your employee. Departments must maintain medical records and documents of employees created for ASU purposes as confidential medical records in separate files/records from the usual personnel file.

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How to fill out the ASU Leave Medical Documentation for Employee's Pregnancy (Non-FMLA) online

Filling out the ASU Leave Medical Documentation for Employee's Pregnancy form is essential for employees seeking medical leave. This guide will provide clear instructions on how to complete the form online to ensure proper documentation and compliance.

Follow the steps to complete the form accurately.

  1. Press the ‘Get Form’ button to access the document and open it in your preferred editing tool.
  2. Complete the return address section at the top of the form. Make sure to include the appropriate contact details, ensuring confidentiality.
  3. In Section I, the department must fill out employee information such as name, job title, regular work schedule, department name, and contact details. This is to provide context for the leave request.
  4. Have the employee's essential job functions documented. If available, attach a job description that outlines these functions.
  5. Section II requires the employee’s participation. They must ensure that their health care provider completes Section III and returns the form within 15 calendar days to avoid denial of the request.
  6. In Section III, the health care provider must provide detailed medical information regarding the employee’s condition, including nature, severity, and probable duration. This information is crucial for the leave request.
  7. Ensure the health care provider signs the form and includes their printed name, business address, specialty, and contact information before submitting.
  8. Once completed, the form should be returned to the designated address provided at the top. You may also consider saving the document digitally for your records.

Take action now to complete your ASU Leave Medical Documentation online promptly.

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Employers cannot require a doctor's note or other reasonable documentation unless 3 or more consecutive days are used. You cannot require specific details as to the reason for absence, and if the employee provides details, you are required to keep them confidential.

Because FMLA leave is unpaid, you may wish to use any paid sick leave or vacation leave that you have available before or at the same time as your FMLA leave. If you are enrolled in a public or private short-term disability insurance plan, it may help replace some of the lost income during treatment.

A Leave of Absence Request Form is a document that an employee submits to request time off from work for a specific period of time. The form typically includes information such as the employee's name, job title, department, reason for the leave, duration of the leave, and any relevant supporting documentation.

Medical Leave FMLA is intended for ongoing or chronic conditions, such as a serious illness that requires regular medical care. Although it isn't paid, employees can take up to 12 workweeks of leave to care for themselves or a seriously ill family member.

Employers are required to give eligible FMLA workers up to 12 weeks of job-protected (but not necessarily paid) leave if they are sick, including with complications from the flu or similar illness and/or they need to care for an immediate family member (children, spouse, parents) who are ill.

Arizona employers must comply with the Family and Medical Leave Act (FMLA). Employers are required to provide employees with 12 weeks of unpaid job-protected leave for maternity leave, serious illnesses, or if the employee needs to care for a spouse or child.

Employers are required to give eligible FMLA workers up to 12 weeks of job-protected (but not necessarily paid) leave if they are sick, including with complications from the flu or similar illness and/or they need to care for an immediate family member (children, spouse, parents) who are ill.

As an undergraduate student, if you need more than two semesters, you may need an official Leave of Absence (LOA). Graduate students should consult with your academic department. Once your LOA is finalized, you must report this to the ISSC through the Reporting Student Exit from ASU eForm through the ISSC eForm Portal.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
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