Colorado Leave of Absence Application Form

State:
Multi-State
Control #:
US-AHI-269
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is to be filled by an employee who is requesting a leave regarding medical, family, military, or personal leave.

The Colorado Leave of Absence Application Form is a standardized document that employees in the state of Colorado used to request time off from work for various reasons. This form is an essential tool for both employers and employees to ensure clear communication and to comply with legal requirements regarding leaves of absence. The Colorado Leave of Absence Application Form gathers important information such as the employee's name, position, department, and contact details. It also includes sections where the employee can specify the type of leave they are requesting, the start and end dates of the leave, and the reason for the absence. Additionally, the employee is prompted to indicate whether they will be using any accrued vacation, sick, or personal time during the leave. There are several types of leaves of absence covered by the Colorado Leave of Absence Application Form, including: 1. Family and Medical Leave Act (FMLA): This type of leave allows eligible employees to take up to 12 weeks of unpaid leave for the birth or adoption of a child, the serious medical condition of the employee or a family member, or for military caregiver purposes. 2. Pregnancy Disability Leave: This type of leave is specifically for pregnant employees and allows them to take time off for medical conditions related to pregnancy or childbirth. Typically, this leave is covered under the FMLA. 3. Sick Leave: This leave type is for when an employee needs time off due to personal illness, injury, or medical appointments. 4. Parental Leave: This leave allows employees to take time off to care for a newborn or newly adopted child. It may be used in conjunction with FMLA. 5. Personal Leave: This type of leave is for non-medical, personal reasons that do not fall under the other specified categories. The Colorado Leave of Absence Application Form streamlines the process for both employees and employers, ensuring that all necessary information is collected and documented. By using relevant keywords such as "leave of absence," "Colorado," "application form," "FMLA," "sick leave," "parental leave," and "personal leave," both employees and employers can easily find and utilize this essential form.

How to fill out Colorado Leave Of Absence Application Form?

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FAQ

What Is a Leave of Absence? It's simple: "A leave of absence is when an employee asks an employer for an extended period of time to not work," Heathfield says. Depending on your request, you may or may not continue to receive a paycheck and employee benefits during your time off.

In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12

Key Takeaways. A leave of absence is authorized time away from work, often for special circumstances in an employee's life. A leave of absence may be paid or unpaid. Some laws cover certain instances of leave, such as jury duty and military service.

The employee must complete the Leave Request form indicating the type of leave to be taken (e.g., vacation, sick, military, jury duty, Family and Medical Leave Act, leave without pay), the dates of the leave and the total hours to be taken from the designated leave category.

The Leave of Absence Request form is completed by the employee requesting a leave of absence and submitted to their departmental representative. This form is to be maintained in a confidential file in the employee's department and should not be submitted to Corporate Payroll. Form Name. Format.

Reasons to take a leave of absence from workMilitary leave.Sabbatical.Short-term disability.Long-term disability.Family or personal leave.Bereavement.Ongoing education.Extended vacation.

To apply for FMLA, the employee must take an FMLA Medical Certification Form to their health care provider. This form ensures that the employee's or family member's applicable health condition is valid. After receiving the form, the employee must return it within 15 calendar days.

Qualifying for FMLASerious health condition of a parent, child, spouse, or self. Child for health-related FMLA is defined the same as under sick leave (under 18 or over 18 if incapable of self-care due to a physical or mental disability at the time leave is to commence). Employee's own serious health condition.

Although FMLA leave is unpaid, employees may be allowed (or required) to use their accrued paid leave during FMLA leave. When an employee's FMLA leave ends, the employee is entitled to be reinstated to the same or an equivalent position, with a few exceptions.

Qualifying for FMLA FML and state family medical leave is granted for: Birth of a child and must be completed within one year of the birth. Placement and care of an adopted or foster child and must be completed within one year of the placement. Serious health condition of a parent, child, spouse, or self.

More info

Additionally, an employee and employer may agree to retroactively designate an absence as FMLA-protected. Example: Henry plans to take 12 weeks of FMLA leave ... Once the need for leave is communicated, a request for FML must be substantiated with a complete and satisfactory medical certification form (for the employee ...Semester Withdrawal (PDF) » ? Must be complete when students withdraw completely from any semester. Request to Enroll in Journal for Academic Credit (Word) » ... Complete withdrawals that occur after Census Day result in ?W? grades on the student's academic transcript. Hardship Withdrawals: Students may request a ... This page contains a chart of state family medical leave laws with provisions similar to the federal FLMA and parental leave for children's educational ... Colorado legislators failed to pass the paid family and medical leaveabsences from work, plus four additional weeks of paid leave if ... The District offers employees Leaves of Absence for time away from work to coverFile a short term disability claim with Standard Insurance by calling ... After you submit your leave of absence request · You'll receive a medical certification form from your supervisor. · This form must be filled out by your family ... Intent to Complete a Graduate Certificate Form, Both. Leave of Absence Request Form, Both. Library (Auraria Library), Denver, CU Denver. Colorado employees: Learn about your right to take time off work under the FMLA and Colorado law.

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Colorado Leave of Absence Application Form