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Family Leave for a Qualifying Exigency Related to Active Duty

www.dol.gov

Page 1 CONTINUED ON NEXT PAGE WH-384 Revised February 2013 Certification of Qualifying Exigency U.S. Department of Labor For Military Family Leave Wage and Hour Division (Family and Medical Leave Act)

  Qualifying, Exigency, Qualifying exigency

STATE OF CONNECTICUT FAMILY AND MEDICAL LEAVE …

www.ct.edu

4 Qualifying Exigency Leave: Because of any qualifying exigency that arises out of or is directly related to the fact that a spouse, son, daughter or parent of the employee is on covered active duty: Short notice deployment;

  Qualifying, Exigency, Qualifying exigency

FAMILY AND MEDICAL LEAVE ACT (FMLA) AND ... - …

www.calhr.ca.gov

CalHR 753. Page of (rev 07/2016). Check all that apply The applicable leave regulations do not apply to your request. Part C. Leave Denial FMLA. CFRA. Military Caregiver Leave. Qualifying Exigency Leave

  Medical, Family, Leave, Family and medical leave act, Fmla, Qualifying, Exigency, Qualifying exigency

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