Personal Leave Of Absence From Walmart

State:
Multi-State
Control #:
US-300EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an employee to request an extended leave of absence.
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How to fill out Request For Extended Personal Leave?

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FAQ

A leave of absence letter should include the reason for the request and the amount of time you'll need away from work, with the date you'll stop working, and when you will return. It should also contain your contact information and, if possible, a plan to keep your team on track without you.

If your claim is ACCEPTED by Sedgwick: Sedgwick will send you a disability (TD) check every two weeks.

The FMLA only requires unpaid leave. However, the law permits an employee to elect, or the employer to require the employee, to use accrued paid vacation leave, paid sick or family leave for some or all of the FMLA leave period.

You can request leave by calling Sedgwick at 800-492-5678, or by making the request online through viaOne express, which can be accessed through WalmartOne.com/LOA. To ensure your management team is kept up to date on your plans, you must notify your manager or HR Representative if leave is being requested.

If you qualify for paid leave benefits, Sedgwick will coordinate your pay. Your payments will be processed through Walmart Payroll and you'll be paid on regular paydays. When your leave is complete, you're required to report your return to work to Sedgwick.

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Personal Leave Of Absence From Walmart