Connecticut FMLA Leave Periodic Status Report

State:
Multi-State
Control #:
US-265EM
Format:
Word; 
Rich Text
Instant download

Description

This form should be completed by an employee during a periodic inquiry by the employer as to whether an employee on FMLA Leave intends to return to

How to fill out FMLA Leave Periodic Status Report?

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FAQ

The state of Connecticut FMLA allows up to 16 weeks of unpaid leave in a 24-month period (or up to 24 weeks if you are a state of Connecticut employee). Pregnancy: The Connecticut FMLA allows up to 12 weeks of unpaid leave in a 12-month period.

Under the ''rolling'' 12-month period, each time an employee takes FMLA leave, the remaining leave entitlement would be the balance of the 12 weeks which has not been used during the immediately preceding 12 months.

5 Tips for Managing Intermittent FMLA LeaveConfirm eligibility.Restrict intermittent leave to only what the law allows and ensure it's taken properly.Use medical certifications.Train supervisors to get it right.More items...?

The employer looks back 12 months (from July 31st back to the previous August 1st) to see if any FMLA leave had been used.

The employee's actual workweek is the basis for determining the employee's FMLA leave entitlement. An employee does not accrue FMLA leave at any particular hourly rate. FMLA leave may be taken in periods of whole weeks, single days, hours, and in some cases even less than an hour.

Any fixed 12-month period (such as a fiscal year or the period starting on an employee's anniversary date). The 12-month period measured forward from the date an employee's FMLA leave begins. A rolling 12-month period measured backward from the date an employee uses any FMLA leave.

Records pertaining to FMLA leave Intermittent leave can be tracked by recording the employee's work schedule and subtracting from it the number of hours they took for FMLA leave. If the employee was scheduled to work 7 hours and only worked 3 hours, then 4 hours of FMLA leave can be counted.

Under the rolling method, known also in HR circles as the look-back method, the employer looks back over the last 12 months, adds up all the FMLA time the employee has used during the previous 12 months and subtracts that total from the employee's 12-week leave allotment.

Qualifying Reasons for CT FMLAUpon the birth of a son or daughter of the employee;Upon the placement of a son or daughter with the employee for adoption or foster care;To care for the family member of an employee with a serious health condition;Due to a serious health condition of the employee;More items...?

Employees can take up to 12 weeks of FMLA leave in a 12 month period. However, employers can define if that time is in a calendar year, a rolling 12 months backward from current days.

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Connecticut FMLA Leave Periodic Status Report