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How do I fill this out?
To fill out this file, start by calling your supervisor to report your anticipated absence. Next, either call the provided number or visit the specified website to initiate your claim. Ensure you sign any required authorizations for health information release.

How to fill out the Voya Absence Resources Guide for Employees?
1
Call your supervisor to inform them about your leave.
2
Contact 1-888-464-3652 or go to voya.absenceresources.com.
3
Fill out the required claim form accurately.
4
Authorize your physician to release health information.
5
Submit your claim within the designated timeframe.
Who needs the Voya Absence Resources Guide for Employees?
1
Employees planning to take a leave of absence due to FMLA.
2
Workers needing to claim disability benefits.
3
Supervisors who require documentation for employee absences.
4
Human resource managers handling employee benefit claims.
5
Payroll departments needing records of employee absence.
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What are the instructions for submitting this form?
To submit this form, you can fax it to your employer's HR department at 1-800-123-4567. Alternatively, you may email the completed document to hr@voya.com. Lastly, ensure you keep a copy of the submission for your records.
What are the important dates for this form in 2024 and 2025?
Be mindful of important dates associated with this form in 2024 and 2025. Key submission deadlines, as well as disability claim dates, will vary and should be monitored closely. Always check the latest updates for specific deadlines relevant to your situation.

What is the purpose of this form?
The purpose of this form is to facilitate the reporting of employee absences. It ensures employees follow correct protocols when seeking leaves due to FMLA or disability. Accurate completion of this form protects employee rights and ensures timely processing of claims.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Name: The full name of the employee requesting leave.
- 2. Employee ID: A unique identifier assigned to the employee.
- 3. Type of Leave: Specifies whether the leave is due to FMLA, disability, or other reasons.
- 4. Start Date: The date when the leave will commence.
- 5. End Date: The date when the leave is expected to end.
- 6. Medical Provider Authorization: Signature for physician data release authorization.
What happens if I fail to submit this form?
Failing to submit this form can lead to delays in the approval of your leave request. Inadequate communication may also result in loss of benefits and complicate payroll processing.
- Delay in Benefits: Not submitting the form may delay your access to benefits.
- Payroll Issues: Incorrect or absent information could affect payroll operations and salary payments.
- Employer Compliance: Failure to adhere to reporting protocols may lead to compliance issues.
How do I know when to use this form?

- 1. Family Leave: To request leave under the Family and Medical Leave Act.
- 2. Medical Leave: For employees who are unable to work due to health issues.
- 3. Disability Claims: To initiate the claim process for short or long-term disability.
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