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Bereavement parental leave

Bereavement parental leave 2026

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The document outlines the procedures for LiUNAcare Local 183 members to apply for bereavement and parental leave benefits. It includes sections for member information, details about the absence due to bereavement or the birth of a child, and requirements for documentation such as certificates and employer confirmation. Members can receive $250 per day for a maximum of three consecutive days for each type of leave.

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Click ‘Get Form’ to open the bereavement parental leave document in the editor.
Begin by filling out your personal information in the 'Member Information' section. Ensure you provide your last name, first name, gender, address, date of birth, and contact details accurately.
Indicate your marital status by selecting the appropriate option from the list provided.
In section B for Bereavement Leave, specify the dates you were unable to attend work and provide the name and relationship of the deceased.
For Parental Leave in section C, indicate whether you have completed the application card. Fill in your child's name, date of birth, and dates of absence.
Attach necessary documents such as a photocopy of the birth/death certificate and a letter from your employer confirming your absence. Sign and date the form before submission.

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