Connecticut Shared Leave Request Form

State:
Multi-State
Control #:
US-231EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an employee to request voluntary shared leave.

How to fill out Shared Leave Request Form?

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FAQ

To download our Shared Work Application Document. submit it to CTDOL Shared Work (Questions and Participants List). are to email the application to DOL.sharedwork@ct.gov or fax it to (860) 263-6681. notified within 30 days of the status of their application via mail or email.

Administered through the CT Paid Leave Authority, the Paid Family and Medical Leave Act (PFMLA) offers Connecticut workers the opportunity to take time to attend to personal and family health needs without worrying about lost income.

You can apply online or call the toll-free application line at (877) 499-8606. To apply online, create an account with CT Paid Leave. Get started with this step-by-step instructional video. If you know when you will be taking leave, submit your application no more than 30 days before the leave start date.

How to File a Paid Family Leave (PFL) Claim by MailVisit Online Forms and Publications and order a form online. A form will be mailed to you.Obtain the form from your physician/practitioner or employer.Visit an SDI Office.Call 1-877-238-4373. California Relay Service (711) Provide the PFL number (1-877-238-4373)

The state of Connecticut FMLA allows up to 16 weeks of unpaid leave in a 24-month period (or up to 24 weeks if you are a state of Connecticut employee). Pregnancy: The Connecticut FMLA allows up to 12 weeks of unpaid leave in a 12-month period.

You can apply online or call the toll-free application line at (877) 499-8606. To apply online, create an account with CT Paid Leave. Get started with this step-by-step instructional video. If you know when you will be taking leave, submit your application no more than 30 days before the leave start date.

The Connecticut Department of Labor's Shared Work Program helps businesses prevent layoffs by allowing them to temporarily reduce employee hours and use partial unemployment benefits to supplement lost wages.

Connecticut Department of Labor's Shared Work program offers an alternative a way to keep your skilled workers on the job while reducing the financial pressure on your business. Instead of cutting employees, you cut hours, enabling employees to collect unemployment for the time they've lost.

Who is Eligible for the Program? The Connecticut Paid Leave (CTPL) program covers all employers with one or more employees and is accessible to all employees who have met certain earned-wage thresholds. Those who are self-employed or are sole proprietors are eligible to opt-in to the program.

A program called work sharing, or short-time compensation, encourages employers to temporarily reduce the hours of their employees rather than lay them off during an economic downturn. Work sharing allows employers to keep their skilled workforce and reestablish a full-time schedule when economic conditions improve.

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Connecticut Shared Leave Request Form