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Get and Sign University of Alaska Fml Request Form Microsoft Word 2009-2022

Get and Sign University of Alaska Fml Request Form Microsoft Word 2009-2022

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Complete this section Supervisor Name: Phone Number: Department: Campus (MAU): Anticipated Duration of Leave: TKL: to (may not exceed maximum allowed by law) Reason for Family Medical Leave:  The birth or adoption of employee’s child.  Placement of child with employee for foster care.  Employee’s serious health condition that makes the employee unable to perform the essential functions of his/her job (requires DOL Form WH-380-E) 1  Employee is needed to care for an immediate family...

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