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The Department has developed optional-use forms which can be used by employers to provide required notices to employees, and by employees to provide certification of their need for leave for an FMLA qualifying reason. These forms are electronically fillable PDFs and can be saved electronically.
The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health benefits be maintained during the leave.
The FMLA allows an employer to require that the employee submit a timely, complete, and sufficient medical certification to support a request for FMLA leave due to the serious health condition of the employee.
Using FMLA leave on November 8, 2024, begins the employee’s 12-month FMLA period which will end on November 7, 2025. The employee substitutes paid parental leave (PPL) for unpaid FMLA leave based on the birth of a child.
The Family and Medical Leave Act (FMLA) lets eligible employees take unpaid leave for medical or family reasons. Learn about benefits, requirements, and how to report violations.
FMLA Leave Certification Forms. Upload forms in the Indiana State Employee Portal or Fax FML forms securely: 317-974-2029. Approvals to use FML intermittently due to long-term or chronic conditions expire each fiscal year on June 30.
Date: January 23, 2024. Read time: 1 minutes. Where can I find forms for FMLA (Family and Medical Leave)? Here are the forms that are relevant to FMLA: Form FMLA-H1R - Employee Request for Medical Leave, Family Leave, or Military Family Leave (PDF) Form FMLA-H2RC - For Medical Leave, Family Leave, or Military Leave (PDF)
To request leave on the basis of the Family and Medical Leave of Act (FMLA), please complete the following request form and submit to Human Resources at least 30 days prior to leave (unless...
The Family and Medical Leave Act (FMLA) guarantees eligible letter carriers up to 12 weeks of leave each postal leave year, for: A new child in the family—by birth, by adoption or by placement in foster care; Caring for a family member with a serious health condition;
Please click on the link below to be directed to the U.S. Department of Labor – Wage and Hour Division website for the following FMLA certification forms: WH-380-E Certification of Health Care...