Fillable Central Connecticut State University - Intent to Return to Work from a Medical Leave, Family Leave or Military Family Leave

Fill Online, Printable, Fillable, Blank Central Connecticut State University - Intent to Return to Work from a Medical Leave, Family Leave or Military Family Leave Form

Use Fill to complete blank online CENTRAL CONNECTICUT STATE UNIVERSITY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Central Connecticut State University - Intent to Return to Work from a Medical Leave, Family Leave or Military Family Leave

On average this form takes 2 minutes to complete

The Central Connecticut State University - Intent to Return to Work from a Medical Leave, Family Leave or Military Family Leave form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 8 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Central Connecticut State University

BROWSE CENTRAL CONNECTICUT STATE UNIVERSITY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
This form provided by the Department of Administrative Services
S
tate of Connecticut Human Resources
Intent to Return to Work
From a Medical Leave, Family Leave or Military Family Leave
(To be completed by the employee before taking leave)
Form #: FMLA - HR3
Revision Date:
12/2017
_________________________________________________________________________________________________
Employee Name _____________________________ Employee No. ______________________________
Official Job Title _____________________________ Agency ___________________________________
I hereby confirm my intent to return to work at the conclusion of my approved leave. ____________
(Fill in “yes” or “no”)
The projected end date of my leave is _______________________________________________.
________________________________________________ ______________________________
(Employee Signature) (Date)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Central Connecticut State University - Intent to Return to Work from a Medical Leave, Family Leave or Military Family Leave

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 27 May 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document