District of Columbia Leave Request - Return From Leave Form

State:
Multi-State
Control #:
US-410EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an employee to request leave and to return from leave.

How to fill out Leave Request - Return From Leave Form?

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FAQ

What you need to know about paid family leave and taxes: Benefits you receive under this program are taxable and included in your federal and District gross income. You will receive a Form 1099-G from the District reporting the payments you received during the year.

West Virginia's Parental Leave Act provides all state and county employees with up to 12 weeks of unpaid leave during any 12-month period. This unpaid leave is provided after the exhaustion of the employee's entire annual and personal leave.

California's new Parental Leave Act (PLA) provides up to 12 weeks of leave for new parents. This includes parents who have given birth to a child and parents who have had a child placed with them through foster care or adoption.

Paid Family Leave benefits provides up to 12 weeks of partially paid time-off along with job protection. The benefit amount may change a little bit every year: while it's set at 67% of your average weekly wage (AWW) capped at 67% of NY's Statewide Average Weekly Wage (SAWW), the SAWW is updated each year by the state.

If you are eligible for Paid Family Leave in the District of Columbia, you may receive a weekly benefit amount which is based on your weekly wages. The current maximum weekly benefit amount is $1,009.

The FMLA requires covered employers to give an eligible employee up to a total of 12 work weeks of unpaid leave during any 12-month period for the birth or adoption of a child, to care for an immediate family member with a serious health condition, if the employee has a serious health condition that requires time away

Paid-leave benefits are calculated based on an eligible individual's average weekly wage; the total wages in covered employment earned during the highest 4 out of 5 quarters (the base period) immediately preceding a qualifying event, divided by 52.

The FMLA entitles eligible employees to take up to 12 weeks of unpaid, job protected leave in a 12-month period, for specified family and medical reasons including any qualifying exigency arising out of the active duty or call to active duty status of a spouse, son, daughter or parent.

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. Employee Eligibility.

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.

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District of Columbia Leave Request - Return From Leave Form