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  • State Of Connecticut Human Resources Medical Certificate - Das State Ct

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State of Connecticut Human Resources Medical Certificate Return to: Agency Name: Attn: Human Resources Address: FAX: Must be submitted within 30 days of foreseeable leave, if leave is FMLA qualifying.

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As of January 1, 2022, an eligible employee may take up to 12 weeks of job-protected leave in a 12-month period for most reasons under the CT FMLA; however, an eligible employee may be able to take up to 26 weeks of job-protected leave in a 12-month period for military caregiver leave under the CT FMLA.

You can apply online or call the toll-free application line at (877) 499-8606.

Connecticut's Paid Family and Medical Leave Act (PFMLA) allows employees access to income replacement benefits for life events covered under the federal Family and Medical Leave Act of 1993 (FMLA), the Connecticut Family and Medical Leave Act (CT FMLA) and the Connecticut Family Violence Leave Act.

Contact. For additional information or questions, please contact Heidi Gray at (860) 785-9477 or via email at Heidi.Gray@ct.gov.

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.

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.

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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