Get Notice And Request Form - California State University, Fresno - Fresnostate
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How to use or fill out the Notice And Request Form - California State University, Fresno - Fresnostate online
Filling out the Notice And Request Form for Family and Medical Leave at California State University, Fresno, is an essential process that helps ensure your rights and benefits are protected. This guide provides a clear, step-by-step approach to completing the online form accurately and efficiently.
Follow the steps to complete your Notice And Request Form online.
- Press the ‘Get Form’ button to access the Notice And Request Form and open it in your preferred online editor.
- Begin by entering the Notification Date in the designated field at the top of the form.
- Indicate whether you are staff or faculty by checking the appropriate box.
- Fill in the FMLA/CFRA Effective Date that corresponds to your leave request.
- If you are Unit 4 Employees, check the box next to ‘Request FMLA’ or ‘Decline FMLA’ as applicable. Remember, a signature is required if you are requesting FMLA.
- Select the reason for your leave from the options provided, which includes birth, adoption, foster care placement, care for a family member, or your own illness.
- Provide the Date of Action/Due Date or the last day you worked, along with your Expected Return to Work or the End of FMLA Date.
- Choose between Full-Time, Partial Leave, or Intermittent leave by checking the appropriate box.
- If your leave is unpaid, indicate whether you wish to continue insurances by circling ‘Yes’ or ‘No’ for Medical, Dental, and Vision plans.
- Enter your personal information, including your name, CSUF ID number, home address, and phone number.
- Complete the Department and Office Phone fields, ensuring all information is accurate.
- Sign and date the form in the designated signature section.
- Once you have filled out all necessary fields, save your changes, and download a copy for your records. You may print the form or share it as needed.
Complete your Notice And Request Form online today to ensure your leave is processed smoothly.
The email ending for California State University, Fresno, is @csufresno. This domain is used by all faculty, staff, and students affiliated with the university. When reaching out for support or information, using the proper email format helps ensure a prompt response. For inquiries regarding official forms, you may want to refer to the Notice And Request Form - California State University, Fresno - Fresnostate.
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