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  • State Of Ct Human Resources Medical Certificate Form#p33a

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State of Connecticut Human Resources Medical Certificate Return to NorthwesternCTCommunityCollege Agency Name Attn Human Resources Park Place East Winsted CT 06098 860-738-6494 Address FAX Must be submitted within 30 days of foreseeable leave if leave is FMLA qualifying. Form P33A - Employee Revision Date 2/2011 AGENCY INSTRUCTIONS To be used by employee who is absent for personal illness including FMLA absences.

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Related content

medical certificate - CT.gov
State of Connecticut Human Resources ... Form #: P33A - Employee ... This medical...
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medical certificate - CT.gov
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The CT Paid Leave Authority provides Connecticut's workforce access to paid family and medical leave benefits by offering helpful tools and resources to help administer this new program. Employee payroll deductions began on January 1, 2021 and Paid Leave benefits became available starting January 1, 2022.

Connecticut Family and Medical Leave Act (CTFMLA): Most employers are required to provide unpaid time off under the CTFMLA if the employee or family member has a qualifying condition or circumstance. CTFMLA provides up to 12 weeks of leave for a “serious health condition.”

Complainant fills out the FMLA complaint form and returns the completed form with any relevant attachments by mail to Legal Division, Connecticut Department of Labor, 200 Folly Brook Boulevard, Wethersfield, CT 06109 or by fax at (860) 263-6768.

they are either: currently employed by a covered employer, or. have been employed by a covered employer within the last 12 weeks, or. a self-employed person or a sole proprietor who is a Connecticut resident and has enrolled in the program.

Generally, the CTFMLA is for an employer with one or more employers, and the federal FMLA is for private employers with 50 or more employees and any public agency, including municipalities, local or regional boards of education, and nonpublic elementary or secondary schools.

EMPLOYER NOTIFICATION FOR CTFMLA LEAVE Employees should provide at least 30-days advance notice to their employer of the need to take CTFMLA leave if they can. If they are unable to because they do not know they need leave, the employee must provide notice as soon as they can.

You can apply online or call the toll-free application line at (877) 499-8606. To apply online, create an account with CT Paid Leave. Get started with this step-by-step instructional video. If you know when you will be taking leave, submit your application no more than 30 days before the leave start date.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232