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Additional information about employee leave of absence rights (including FMLA) and responsibilities will be provided to you in writing within five business days after receipt of this notice (unless already provided). Determination of eligibility for leave under FMLA and other leave of absence laws and/or additional documentation or clarification of documentation, may be required prior to making a final determination to approve any leave request. Please contact People Operations with any questions. Please return this form with documentation supporting your request for a leave of absence. (physician’s statement, military orders, or additional information)

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