Get Department Of Labor Employment Standards Administration Wage And Hour Division Omb Control Number

Filling out the Department Of Labor Employment Standards Administration Wage And Hour Division OMB Control Number is an important process for employees requesting leave under the Family and Medical Leave Act. This guide will provide clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your form successfully.

1. Press the ‘Get Form’ button to access the form and view it in your editing interface.
2. In Section I, the employer must fill out their name and contact information, ensuring all required fields are completed.
3. In Section II, the employee should enter their full name, including first, middle, and last names as applicable.
4. Provide the name of the covered military member, ensuring to include their first, middle, and last names accurately.
5. Indicate the relationship between the employee and the covered military member and the period of the member’s active duty.
6. Check the appropriate box regarding supporting documentation for the military member’s active duty status and attach any necessary copies.
7. In Part A, describe in detail the reason for requesting FMLA leave due to a qualifying exigency in the provided space.
8. In Part B, indicate the approximate date the exigency started and the expected duration.
9. Specify whether a continuous absence is required or if periodic absences will be needed, and estimate the relevant dates.
10. Fill out the frequency and duration of any appointments or meetings related to the exigency in the specified fields.
11. In Part C, provide the name and contact information of any third parties involved in meetings related to the exigency.
12. Finally, in the certification section, the employee must sign and date the document to validate the information provided.
13. Once all sections are completed, ensure to save your changes before downloading, printing, or sharing the form as needed.

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