District of Columbia Leave Absence Approval Form

State:
Multi-State
Control #:
US-281EM
Format:
Word; 
Rich Text
Instant download

Description

A company may use this form to approve a requested leave of absence by an employee.
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How to fill out Leave Absence Approval Form?

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FAQ

How soon will I receive my first benefit payment after I submit my completed claim form? Most benefit payments are issued within two weeks after the EDD receives a properly completed claim online or by mail.

FMLA applies to employers with 2265 50 employees within a 75 mile radius; employees must have worked 1,250 hours in the past year. FMLA covers unpaid leave-12 weeks of care of self or family member with a serious health condition. This includes spouse, child, or parent.

Under Washington's paid sick leave law, which is separate from its Family and Medical Leave Program, all employers must provide employees with one hour of sick leave for every 40 hours worked. Employees must be allowed to carry over 40 hours of accrued leave from year to year.

Nearly every worker can qualify for Paid Leave if they worked a minimum of 820 hours (about 16 hours a week) in Washington during their qualifying period. Log in to your Paid Leave account and submit a Request for Review.

The District of Columbia Family and Medical Leave Act (DCFMLA) requires employers with 20 or more employees to provide eligible employees with 16 weeks of unpaid family leave and 16 weeks of unpaid medical leave during a 24 month period.

The number of weeks of leave exceeds the Employment Insurance benefit length by one week in recognition of the waiting period. Employees should be aware of this before taking their leave. Leave can start any time within the 13 weeks leading up to the estimated due date and no later than the date of birth.

We encourage you to use our benefits application portal to file a claim. If you are unable to apply online, please call our contact center at (202) 899-3700. Click to download our PFL Employee Handbook for additional information about qualifying events and the program.

How Much Can I Receive in Parental Leave Benefits? DC Paid Family Leave provides wage replacement of 90% of wages up to 1.5 times DC's minimum wage and 50% of wages above 1.5 times DC's minimum wage. The maximum weekly benefit amount is $1,000.

You are eligible for Paid Family Leave benefits if you: Spend more than 50% of your time working in DC. Eligible workers must spend a majority of their time working the Districtincluding teleworking or telecommutingfor a covered employer, and must have completed that work during the year prior to needing leave.

As explained in Chapter 2, there is a 7-day waiting period for benefits. Benefit payments occur on a schedule every two weeks. You will always receive payment for your Paid Family Leave benefits after the week for which benefits were payable to you and during which you took leave.

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District of Columbia Leave Absence Approval Form