The San Jose California Shared Leave Request Form is a document used by employees to apply for shared leave benefits in the city of San Jose, California. This form is designed to facilitate the process of requesting and granting shared leave, which allows employees to voluntarily donate their accrued leave to fellow employees who are facing personal or family medical emergencies or unexpected situations. The San Jose California Shared Leave Request Form includes various sections to gather relevant information from the employee. These sections typically include: 1. Employee Information: This section requires the employee to fill in their name, employee ID, department, and contact information. It may also ask for the name of the recipient of shared leave if applicable. 2. Reason for Shared Leave Request: The form will have a space for the employee to explain the reason for their request. This could include a medical condition, recovery from surgery, partaking responsibilities for a family member, or other qualifying circumstances. 3. Medical Certification: In some cases, the form may require the employee to submit medical certification or documentation proving the need for shared leave. This may involve a healthcare provider's signature, details about the condition, and expected duration of leave. 4. Leave Donation Details: If the employee is requesting shared leave for another person, separate sections may be included to gather the recipient's information, such as their name and relationship to the employee. 5. Leave Balance Verification: The form may ask the employee to provide their current leave balance to ensure they have enough accrued leave before requesting shared leave. 6. Consent and Acknowledgment: The employee will be required to sign and date the form, confirming their understanding of the shared leave policy and their consent to have shared leave donated to them or another person. Types of San Jose California Shared Leave Request Forms: 1. Personal Medical Emergency Leave Request Form: This form is used by employees who require shared leave due to their own medical emergency or health-related issues. 2. Family Medical Emergency Leave Request Form: Employees who need shared leave to attend to a family member's medical emergency or caregiving needs can utilize this form. 3. Parental Leave Request Form: This form is specific to parental leave requests, allowing employees to request shared leave for the birth, adoption, or foster placement of a child. 4. Catastrophic Event Leave Request Form: In the case of a catastrophic event, such as a natural disaster or major accident, this form allows employees affected by the event to request shared leave. It is important to note that the specific names and types of San Jose California Shared Leave Request Forms may vary depending on the policies and procedures implemented by individual employers within the city.