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Get Long Term Medical Leave Request

7. REASON FOR REQUESTED LEAVE: A. For prenatal medical care, or childbirth, or incapacity due to pregnancy. (May be required to provide a Certification of Health Care Provider form within 15 calendar days of this request) B. To care for the employee's child after birth, or placement for adoption or foster care (May be required to provide a Certification of Health Care Provider form within 15 calendar days of this request) C. To care for the employee's spouse, child, or parent who has a ser.

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