Delaware Family and Medical Leave Request Form

State:
Multi-State
Control #:
US-266EM
Format:
Word; 
Rich Text
Instant download

Description

An employee may use this form to request leave under the FMLA.
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  • Preview Family and Medical Leave Request Form
  • Preview Family and Medical Leave Request Form
  • Preview Family and Medical Leave Request Form

How to fill out Family And Medical Leave Request Form?

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FAQ

Delaware state law doesn't provide pregnancy leave, but if you work in Delaware, the federal Family Medical Leave Act (FMLA) gives you the right to take unpaid leave for these reasons.

The Family and Medical Leave Act (FMLA) provides a means of balancing the demands of the workplace with the needs of families, and promotes the stability, integrity, and economic security of employees' families in a manner that accommodates the legitimate interests of the State of Delaware (State).

FMLA runs concurrently with the Parental Leave benefit, as applicable. The State provides up to 12 calendar weeks of Parental Leave to eligible employees upon the birth of a child of the employee, or upon the adoption by the employee of a child who is six (6) years of age or younger.

The FMLA provides eligible employees up to 12 weeks of unpaid leave for qualifying family and medical reasons in a 12-month period from the first date of FMLA leave use.

Delaware employers must comply with the FMLA if they have at least 50 employees for at least 20 weeks in the current or previous year. Employees may take FMLA leave if: They have worked for the company for at least a year. They worked at least 1,250 hours during the previous year, and.

The FMLA provides eligible employees up to 12 weeks of unpaid leave for qualifying family and medical reasons in a 12-month period from the first date of FMLA leave use.

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.

There is no Delaware law requiring private employers to provide employees sick leave, paid or unpaid, although many employers do grant it as an important employee benefit. It is important to remember, however, that if sick leave is promised, an employer may create a legal obligation to grant it.

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Delaware Family and Medical Leave Request Form