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  • Request For Family And Medical Leave - Utexas

Get Request For Family And Medical Leave - Utexas

12-475-8099 FAX 512-471-7008 REQUEST FOR FAMILY AND MEDICAL LEAVE Employee Name: UT EID: Home Address: City: State: Zip: Home Phone: Department Contact: Other Phone: Office Phone: Family and Medical Leave: Family and Medical Leave may be used for the following circumstances (check appropriate box): Birth and Care of your child or a child for whom you stand in loco parentis.* Adoption or Foster Care Placement of your child or a child for whom you stand in loco parentis.* My child is.

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Contact Info Email: Leave Management;HRS-LM@austin.utexas.edu. Phone: 512-475-8099. Fax: 512-471-7008.

The provision of up to 12 weeks of unpaid, job-protected leave under FMLA aligns well with common scenarios such as maternity leave. While STD provides a portion of income during a temporary health-related absence, it doesn't guarantee job protection, which FMLA does.

The law allows eligible employees to take job-protected leave for the birth or adoption of a child, for the care of a child, spouse or parent with a serious health condition, for the employee's own serious health condition, or for the care of a covered military service member.

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health benefits be maintained during the leave.

The Family and Medical Leave Act was passed in 1993, and entitles eligible employees to 12 workweeks of unpaid leave in a 12-month period. Since FMLA leave is unpaid, the primary benefit is job protection.

The State established a new Paid Parental Leave (PPL) pilot program to provide up to 12 weeks of paid leave to eligible employees following the birth of a child, or the new placement of a foster or adoptive child in the home occurring on or after January 1, 2023.

You can get up to 12 weeks of job-protected leave with continuous health insurance coverage. For the first two weeks, the employee will not receive pay, but for the remaining 10 weeks, the employee can receive pay at a rate of two-thirds the employee's regular rate of pay.

Employers are required to give eligible FMLA workers up to 12 weeks of job-protected (but not necessarily paid) leave if they are sick, including with complications from the flu or similar illness and/or they need to care for an immediate family member (children, spouse, parents) who are ill.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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