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- University Of Chicago Victims Economic Security And Safety Act (VESSA) Leave Of Absence Request Form 2015
Get University Of Chicago Victims Economic Security And Safety Act (VESSA) Leave Of Absence Request Form 2015-2024
Est Form PLEASE PRINT Employee Name: SSN: Home Address: City, State, Zip: Job Title: Dept. Name: REASON FOR LEAVE REQUEST Domestic or sexual violence of employee Domestic or sexual violence of family or household member Name of individual: Relationship: EXPECTED DURATION OF THE REQUESTED LEAVE BLOCK OF TIME from to (month/day/year) (month/day/year) INTERMITTENT LEAVE*: Describe anticipated frequency and duration REQUEST TO USE AND CONTINUE BENEFITS I request to use the following pa.
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Corroborating FAQ
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An employee may take VESSA leave to: 1. Seek medical attention for, or recovery from, physical or psychological injuries caused by domestic or sexual violence to the employee or employee's family or household member; 2. Obtain victim services for the employee or employee's family or household member; 3.
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If the leave is due to a serious health condition of the employee or the employee's spouse, Civil Union partner, parent, or child, the employee must also submit FMLA certification. VESSA leave is not leave time in addition to FMLA leave when the reason for VESSA leave also qualifies under FMLA.
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VESSA applies to all Illinois employers and requires them to provide unpaid leave to employees who are victims of domestic, sexual, or gender violence or crimes of violence (or whose family or household members are victims). Signed by Gov. J.B. Pritzker on July 28, the amendments took effect immediately.
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What is VESSA? The Illinois Victim's Economic Security and Safety Act, or VESSA, provides up to 12 weeks of unpaid leave to an employee who is a victim of or who has a family member who is a victim of domestic or sexual violence to address issues arising from domestic or sexual violence.
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If the leave is due to a serious health condition of the employee or the employee's spouse, Civil Union partner, parent, or child, the employee must also submit FMLA certification. VESSA leave is not leave time in addition to FMLA leave when the reason for VESSA leave also qualifies under FMLA.
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The Victims' Economic Security and Safety Act (“VESSA”) provides an employee who is a victim of domestic or sexual violence, or who has a family or household member who is a victim of domestic or sexual violence, with up to twelve (12) weeks of unpaid leave per any twelve (12) month period to address issues arising ...
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An employee may take VESSA leave to: Obtain psychological or other counseling for the employee or the employee's family or household member. Participate in safety planning, including temporary or permanent relocation or other actions to increase the safety of the victim from future domestic or sexual violence.
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VESSA applies to all Illinois employers and requires them to provide unpaid leave to employees who are victims of domestic, sexual, or gender violence or crimes of violence (or whose family or household members are victims). Signed by Gov. J.B. Pritzker on July 28, the amendments took effect immediately.
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