Get Union Pacific Railroad Form 16874 2010-2025
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How to fill out the Union Pacific Railroad Form 16874 online
The Union Pacific Railroad Form 16874 is an essential document for employees requesting Family and Medical Leave Act (FMLA) leave. This guide provides step-by-step instructions for completing the form online to ensure compliance and avoid delays in processing your request.
Follow the steps to complete the form accurately and efficiently.
- Use the ‘Get Form’ button to access the document and open it in the applicable editor for online completion.
- Begin by completing Section 1, which includes your personal information as the employee. Provide your name, job title, phone number, service unit or department, employee ID, and supervisor's name.
- Indicate the reason for your leave by checking the appropriate box. If applicable, provide the estimated due date for the birth of your child or additional details regarding your own serious health condition or that of your family member.
- Specify the type of leave you are requesting: block, intermittent, or reduced work schedule. If your leave is related to your own serious health condition, confirm whether it is due to an on-duty injury.
- Attach a job description if necessary and list the essential functions of your job that may be affected by your leave.
- Instruct the health care provider to complete their section, ensuring they answer all questions thoroughly and provide necessary medical information.
- Review the form for accuracy and completeness before signing. Ensure that both you and any family member required to sign complete the appropriate signature and date fields.
- Finalize the form by saving your changes. You may then download, print, or share the completed form as needed before submitting it.
Complete your necessary documents online today to ensure a smooth process for your FMLA leave request.
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To inform your employer about your request for FMLA leave, begin by reviewing your company’s policy on leave requests. You should provide notice verbally or in writing, ideally using the Union Pacific Railroad Form 16874 as a formal document. This form not only clarifies your request but also serves as a useful reference for your employer. Open communication will help ensure a favorable response to your request.
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