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  • University Of Utah Electronic Fmla Form

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Human Resources Division 420 Wakara Way Suite 105 Salt Lake City Utah 84108 Fax 801 585-7375 Request for Leave Under the Family and Medical Leave Act of 1993 FMLA Employee Information Name Employee ID Address City Email Address Home Phone Department Work Phone Supervisor s Name Zip Supervisor s Phone Number Payroll Reporter s Name St Reason for FMLA Request Use of Vacation Accruals Maternity Paternity Adoption or Foster Care Placement Serious .

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Who is Eligible? To be eligible for FMLA you must have a qualifying event and have been employed with the State for 12 months and worked at least 1,250 hours in the 12 months immediately preceding the first day of the leave requested for FMLA.

Employees in Utah may take up to 12 weeks of leave in a 12-month period for a serious health condition, bonding with a new child, or qualifying exigencies. This leave renews every 12 months, as long as the employee continues to meet the eligibility requirements set out above.

Who is Eligible? To be eligible for FMLA you must have a qualifying event and have been employed with the State for 12 months and worked at least 1,250 hours in the 12 months immediately preceding the first day of the leave requested for FMLA.

In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12 ...

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year.

Do I get paid while on FMLA leave? FMLA leave is unpaid leave. Unless you choose to use your own accrued leave during the same period of your FMLA leave, you will be in an unpaid leave status.

Do I get paid while on FMLA leave? FMLA leave is unpaid leave. Unless you choose to use your own accrued leave during the same period of your FMLA leave, you will be in an unpaid leave status.

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© Copyright 1997-2025
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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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