WebApr 6, 2024 · Form through which employees who wish to donate their accrued vacation leave to colleague who have exhausted their own leave options. Submit to: Department Supervisor. UC Davis. Exceed Maximum Vacation Accrual Limit Request. Managers and employees can use this form to when the employee exceeds the vacation accrual threshold. WebEmployee FMLA Leave Request (Family/Medical Leave Request Form) Eligible employees are entitled under the Family and Medical Leave Act (FMLA) to take up to 12 or 26 weeks of job-protected leave for certain family and medical reasons. Submit this request form to …
Forms Library - MetLife
WebLayoff Request Form. (link is external) Use this form when requesting a layoff for an employee. Leave Of Absence Notice. (link is external) This notice must be completed and sent to the Central Benefits Office whenever an employee goes on leave of absence without pay. Near Relative Policy Exception Request. WebAll other employees should use the Medical Leave and FMLA Request Application ... -15322 Family and Medical Leave – Employee Request. DOA-15325 Notice of Eligibility and Rights & Responsibilities (two forms combined) DOA-15324 FMLA Designation Notice. DOA-15336 – Fitness for Duty Certification – Return to Work Release. harper concrete
FMLA LEAVE REQUEST FORM - Division of Human Resources
WebOnline: Create a new leave request online using the following steps: Select the “Review My Coverage” tab from the header. Then select “Disability/Leave of Absence” from the drop-down menu. Click on “Submit a request for a disability or leave of absence”. WebOpen PDF file, 1.33 MB, for Certification of your Serious Health Condition form (English, PDF 1.33 MB) You and your health care provider must fill out this form about your serious health condition. Open PDF file, 683.42 KB, for Certification of your Family Member's Serious Health Condition form (English, PDF 683.42 KB) WebFMLA LEAVE REQUEST FORM . Part A: To be completed by employee and/or supervisor, and then submitted to supervisor. Employee Name _____Title/Agency/Unit _____ REASON FOR … harper contracting