Alaska File Form for Family and Medical Leave

State:
Multi-State
Control #:
US-AHI-205
Format:
Word
Instant download

Description

This is a AHI file form regarding family and medical leave act. This form is to be kept in the employee's file to document time taken for a leave.
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  • Preview File Form for Family and Medical Leave
  • Preview File Form for Family and Medical Leave
  • Preview File Form for Family and Medical Leave

How to fill out File Form For Family And Medical Leave?

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FAQ

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 (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).

In Alaska, an employer must pay an employee for accrued vacation leave upon separation from employment if its policy or contract provides for such payment.

FMLA leave is unpaid leave. However, workers may choose to, or employers may require them to, substitute accrued paid sick, vacation, or personal time for FMLA leave. Substitute means that the paid leave provided by the employer will run concurrently with the unpaid FMLA leave.

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.

Please be advised that I hereby request an FMLA leave for a period of (number of weeks) in connection with my serious health condition. The leave is to start on (date). Attached is my medical note reflecting the need for FMLA leave. Please let me know whether you approve this leave at your earliest convenience.

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.

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.

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Alaska File Form for Family and Medical Leave