Alaska FMLA Leave Periodic Status Report

State:
Multi-State
Control #:
US-265EM
Format:
Word; 
Rich Text
Instant download

Description

This form should be completed by an employee during a periodic inquiry by the employer as to whether an employee on FMLA Leave intends to return to

How to fill out FMLA Leave Periodic Status Report?

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FAQ

Any fixed 12-month period (such as a fiscal year or the period starting on an employee's anniversary date). The 12-month period measured forward from the date an employee's FMLA leave begins. A rolling 12-month period measured backward from the date an employee uses any FMLA leave.

THE FAMILY AND MEDICAL LEAVE ACT (FMLA) requires covered employers to provide up to 12 weeks in a 12 month period of paid or unpaid, job-protected leave to eligible employees for qualifying family and medical reasons (the State of Alaska is a covered employer).

Leave and Reinstatement Rights Employees are entitled to continue their health insurance while on leave, at the same cost they must pay while working. FMLA leave is unpaid.

The Alaska Family Leave Act (AFLA) provides a job-protected absence for up to 18 weeks in a 24-month period to eligible employees for a qualifying serious medical condition. It also provides a job-protected absence for up to 18 weeks in a 12-month period to eligible employees for pregnancy, childbirth or adoption.

Employees can take up to 12 weeks of FMLA leave in a 12 month period. However, employers can define if that time is in a calendar year, a rolling 12 months backward from current days.

Conditionally designate the leave as FMLA if the employee did not submit a. completed medical certificate. The final designation of FMLA will be. dependent upon the return of the completed Medical Certification.

Intermittent leave can be tracked by recording the employee's work schedule and subtracting from it the number of hours they took for FMLA leave. If the employee was scheduled to work 7 hours and only worked 3 hours, then 4 hours of FMLA leave can be counted. Employers must track this information.

The employer looks back 12 months (from July 31st back to the previous August 1st) to see if any FMLA leave had been used.

Under the rolling method, known also in HR circles as the look-back method, the employer looks back over the last 12 months, adds up all the FMLA time the employee has used during the previous 12 months and subtracts that total from the employee's 12-week leave allotment.

Using this method, the employer will look back over the last 12 months from the date of the request, add all FMLA time the employee has used during the previous 12 months and subtract that total from the employee's 12-week leave allotment.

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Alaska FMLA Leave Periodic Status Report