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  • Cuny Fmla Form-3 B 2015

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FAMILY AND MEDICAL LEAVE ACT (FMLA)FMLA FORM3 BCERTIFICATION OF HEALTH CARE PROVIDER FOR FAMILY MEMBER 'S SERIOUS HEALTH CONDITION Section 1: TO BE COMPLETED BY EMPLOYER CollegeLa Guardia Community.

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Employees may be eligible to take up to 12 weeks of Paid Family Leave at 67 percent of their pay, up to a cap. Employers can allow employees to take vacation or sick leave so that the employee can earn a full salary. However, employers cannot require employees to take vacation or sick leave for paid family leave.

Employee has at least 1000 hours of work and paid leave for employer in the preceding 52 weeks and employee worked for employer for at least 52 consecutive weeks. 12 weeks during a 12 month period. Leave for birth, adoption, or to care for sick parent or childmust be shared by spouses working for same employer.

Full-time employees: Employees who work a regular schedule of 20 or more hours per week are eligible after 26 consecutive weeks of employment. Part-time employees: Employees who work a regular schedule of less than 20 hours per week are eligible after working 175 days, which do not need to be consecutive.

Note: Employees who have worked for the City of New York for at least 12 months, and who have worked 1250 hours in the last 12 months, are entitled to a total of 12 weeks of Family and Medical Leave per year.

For more information, forms, and instructions, visit .ny.gov/PaidFamilyLeave or call (844) 337-6303.

To apply for leave under FMLA, contact the personnel office of your employer agency. If eligible and approved, the personnel office will provide to the Fund's administrative office the appropriate information for continuation of Fund benefits.

Employees taking Paid Family Leave will get 67% of their average weekly wage, up to a cap of 67% of the current Statewide Average Weekly Wage of $1,450.17. What is the maximum weekly benefit in 2021? The maximum weekly benefit for 2021 is $971.61.

Once you're ready to apply, follow these three steps: COLLECT YOUR FORMS AND DOCUMENTATION. The forms are available from your employer, employer's insurance carrier or you may download: Care for a Family Member with a Serious Health Condition (Forms PFL-1, PFL-3 & PFL-4) ... COMPLETE. FORM PFL-1. ... SUBMIT TO INSURANCE CARRIER.

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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
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