Connecticut FMLA Information Letter to Employee

State:
Multi-State
Control #:
US-288EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used to provide information to employees about extended absences under the FMLA.
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FAQ

I will be having surgerymy surgeon has ordered a minimum three-week recovery period (see doctor's signed recommendation attached.) I am happy to assist in handling any necessary preparations before beginning my leave, including training colleagues on upcoming projects. Thank you so much for your understanding.

Here's how to ask for a leave of absence from your job:Understand your legal rights regarding time off and pay.Make the request in person.Give sufficient advance notice.If possible, work with your boss to develop an agreeable plan.Keep track of relevant paperwork.

In general, when an employee is out, we recommend informing coworkers only that the employee is on a leave of absence. The reasons for the leave are not any of the coworkers' business, and the employee might not want the reasons known by others.

How Do I Request FMLA Leave? To take FMLA leave, you must provide your employer with appropriate notice. If you know in advance that you will need FMLA leave (for example, if you are planning to have surgery or you are pregnant), you must give your employer at least 30 days advance notice.

The FMLA and the ADA provide employees with the right to the confidentiality of their medical information. Employees who find their rights infringed upon may choose to, and have the right to, pursue the matter in court.

Although district courts conflict on whether a disclosure of an employee's medical information constitutes an interference claim under FMLA, the Court finds that enforcing labor regulation makes clear that confidentiality of medical information is a right provided by and protected by the FMLA. Citations Omitted.

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.

To qualify for the stress leave, you must be suffering from a serious medical condition. Not all stress causes an FMLA-eligible condition. But, if your doctor agrees that you are suffering from a severe condition and that you are unable to work during this time period, you will be eligible for protected leave.

Dear (Supervisor / HR Manager): 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.

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.

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Connecticut FMLA Information Letter to Employee