There is an application form at Appendix A of circular 50/2023
. You should submit this to your employer as soon as is reasonably practicable, either prior to, or after, availing of the leave.
On the application form, you will state for whom you are providing care, and briefly outline why you are entitled to the leave (i.e. noting the significant care and support you are providing).
Your employer must be satisfied that you are providing significant care or support for a serious medical reason and may request a medical certificate confirming this. If a medical certificate is requested, it does not need to state the specific nature of the person’s illness.
Your employer will confirm in writing whether your application for Unpaid Leave for Medical Care Purposes has been approved or refused, and if the leave is being refused, your employer must state the grounds for the refusal.