Connecticut Employer FMLA Response - Form WH-381

State:
Multi-State
Control #:
US-426EM
Format:
Word; 
Rich Text
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Description

This form is used by an employer to provide a response to a request for leave under the FMLA.
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  • Preview Employer FMLA Response - Form WH-381
  • Preview Employer FMLA Response - Form WH-381

How to fill out Employer FMLA Response - Form WH-381?

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FAQ

Eligibility Notice, form WH-381 informs the employee of his or her eligibility for FMLA leave or at least one reason why the employee is not eligible.

Designation Notice, form WH-382 informs the employee whether the FMLA leave request is approved; also informs the employee of the amount of leave that is designated and counted against the employee's FMLA entitlement.

Go to your Human Resources department and let them know you would like to take an FMLA-approved absence for stress leave. They will provide you with the necessary paperwork that you must take to your doctor.

EligibilityHave worked for your employer for at least 12 months; and.Have worked for your employer for at least 1,250 hours in the 12 months before you are taking leave; and.Work at a location where your employer has at least 50 employees within 75 miles of your worksite.

The eligibility notice may be either oral or in writing and must: Be provided within five business days of the initial request for leave or when the employer acquires knowledge that an employee leave may be for an FMLA-qualifying reason; Inform the employee of his or her eligibility status; and.

Among the forms changed were the WH-381, the notice of eligibility and rights and responsibilities; WH-382, designation notice; WH-380-E, medical certification of an employee's serious health condition; and WH-380-F, medical certification of a family member's serious health condition.

Among the forms changed were the WH-381, the notice of eligibility and rights and responsibilities; WH-382, designation notice; WH-380-E, medical certification of an employee's serious health condition; and WH-380-F, medical certification of a family member's serious health condition.

How to Approve or Deny FMLA LeaveStep 1: Provide Education and Notices.Step 2: Respond to a Request for FMLA Leave.Step 3: Determine Certification Needs.Step 4: Determine Clarification and Authentication Needs, if Any.Step 5: Obtain Second and Third Opinions, if Needed.Step 6: Approve or Deny the Leave.More items...

Under certain circumstances, an employer may deny job restoration to "key employees." A "key employee" is a salaried, FMLA-eligible employee who is among the highest paid 10 percent of all the employees employed by the employer within 75 miles of the employee's worksite.

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.

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Connecticut Employer FMLA Response - Form WH-381