Get Ct Aflac Ctpl-0006 2022-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the CT Aflac CTPL-0006 online
This guide offers clear instructions on how to complete the Connecticut Paid Leave CTPL-0006 form online. Whether you are an applicant or an employer, following these steps will help ensure accurate and timely submission.
Follow the steps to complete the CTPL-0006 form effectively.
- Click ‘Get Form’ button to access the CT Aflac CTPL-0006 form and open it in your preferred online editor.
- In Section 1, as the applicant or employer, fill in the applicant’s first and last name, date of birth, and the last four digits of the Social Security Number. Specify the beginning and end dates of the leave and choose the leave type: continuous, intermittent, or reduced schedule. Provide a case number and the reason for leave by checking the applicable box.
- Proceed to Section 2 and complete the employer information including the employer's name, address, city, state, zip code, and contact details. If applicable, indicate the relevant category by checking the correct box before returning the form to Aflac.
- In Section 3, input the employee’s rate of pay, hire date, and date of separation if applicable. Select the days the employee typically works. If their workweek varies, provide details for the hours worked over the previous 12 weeks, including any overtime.
- In Section 4, the employer must list any company holidays or scheduled closures during which the employee would not be expected to work if they were not on leave.
- Move to Section 5, where the employer checks if the employee has applied for Worker’s Compensation. If yes, indicate whether it has been approved and provide the corresponding dates. State the income-replacement benefits the employee will receive while on leave.
- Complete Section 6 if additional employer approval is required for certain leaves. Indicate approval for intermittent leave or qualifying exigency leave and provide a description of the leave's timing, frequency, and duration.
- Finally, in Section 7, the employer must sign and date the form, certifying that the information provided is true and complete. Print their name and title before submitting the form.
- Once all sections are finished, review the form for accuracy, then save the changes, download it, print, or share the form as necessary.
Complete your CT Aflac CTPL-0006 form online today to ensure timely processing of your leave request.
Generally, leave under the federal and Connecticut FMLA — and Connecticut Paid Leave benefits from the CT Paid Leave Authority — are limited to 12 weeks in a 12-month period, with the possibility of 2 additional weeks of leave for incapacity during pregnancy.
Fill CT Aflac CTPL-0006
CTPL-0006 (02-2022) o. Com or fax to . This form is intended to verify wages when wage data is unavailable from CT Department of Labor. Section 1: Applicant's Information CTPL-0006 (08-2023). The CTPL provides income replacement benefits to eligible employees who are unable to work for the same leave reasons. The difference between CT Paid Leave and CT FMLA. • Qualifying Reasons for Leave. Please submit the completed Connecticut Paid Leave Employment Verification form to Aflac within 10 calendar days of receipt. Connecticut's Family and Medical Leave law gives employees access to unpaid, jobprotected leave for various qualifying life events.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.