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

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FAQ

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 current minimum wage in Connecticut is $13 per hour. The CT Paid Leave Authority notes that 40 times the minimum wage is currently equal to $520. If a person earns minimum wage and applies to receive leave benefits, they will receive 95 percent of $520, or $494 weekly.

Employees in Connecticut will be eligible for benefits under the PFMLA if they have earned wages of $2,325 in the highest-earning quarter of the first four of the five most recently completed quarters (the "base period") and are currently employed, and have been employed within the last 12 weeks.

To address qualifying exigencies arising from a spouse, son, daughter or parent's active-duty service in the armed forces; and. To care for a spouse, son, daughter, parent or next of kin with a serious injury or illness incurred on active duty in the armed forces.

A paid family leave law described as one of the most generous in the country goes into effect for Connecticut workers on January 1, 2022. Workers will be able to take 12 weeks of paid leave in 12 months for personal and family health needs.

The FMLA only requires unpaid leave. However, the law permits an employee to elect, or the employer to require the employee, to use accrued paid vacation leave, paid sick or family leave for some or all of the FMLA leave period.

How much will employees be paid during leave? For covered employees, the benefit rate will be calculated in the following ways: If an employee's wages are less than or equal to the Connecticut minimum wage multiplied by 40, their weekly benefit rate under the PFMLA will be 95% of their average weekly wage.

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.

A paid family leave law described as one of the most generous in the country goes into effect for Connecticut workers on January 1, 2022. Workers will be able to take 12 weeks of paid leave in 12 months for personal and family health needs.

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Connecticut File Form for Family and Medical Leave