FMLA Request for Leave

2020欧洲杯体育直播投注request leave for a state, rf or ubf employee to go on a medical leave of absence under the federal medical leave act (fmla).

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Completing the PDF Form

  1. Read through all pages of the document to find specific instructions, if any
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Send the original, completed, signed form to:         

Human Resources
120 Crofts Hall
North Campus

Need Help Completing the Form?

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UB HR Leaves

State Benefit Services

phone: 716-645-7777

Email: ub-hr-leaves@stpatrickshosp.com

Zachary Jenney.

Zachary Jenney

Research Foundation Benefit Services

2020欧洲杯体育直播投注phone: 716-645-4439

Email: zjenney@stpatrickshosp.com

Joyce Weeman.

Joyce Weeman

Benefits Specialist

UB Foundation

phone: 716-645-8731

Email: joycewee@stpatrickshosp.com

Form Facts

Form Type:2020欧洲杯体育直播投注 Downloadable, PDF document

Requirements:

Updated: December 2009

Owner:2020欧洲杯体育直播投注 Human Resources