Indiana File Form for Family and Medical Leave

State:
Multi-State
Control #:
US-AHI-205
Format:
Word; 
Rich Text
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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FAQ

In addition to the federal Family and Medical Leave Act (FMLA), some states have their own comprehensive family leave laws that may also require employers to grant employees time off for the birth or adoption of a child or to care for a family member with a serious illness. However, Indiana does not have such a law.

Paid Parental Leave will be provided to an eligible staff employee who is the parent of a newborn or newly adopted child. If both parents are eligible staff employees, each parent may receive up to 6 weeks (240 hours) of Paid Parental Leave. Surrogate mothers and sperm donors are not eligible for Paid Parental Leave.

When am I eligible for time off under the FMLA? You must have worked for your employer for at least 12 months and you must have worked for at least 1,250 hours during the last year. The employer must have at least 50 or more employees within 75 miles of where you work.

Form WH 380-E, Certification of Health Care Provider for Employee's Serious Health Condition, is a form used by employers and sent to the US Department of Labor, Wages and Hour Division. This form verifies that an employee has a serious medical condition.

To be eligible for family medical leave employees must have:Have worked at least 1,250 hours in the 12-month period immediately preceding the need for family-medical leave. Have not exhausted their allotment of family-medical leave in the applicable time period.

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.

FMLA leave is unpaid, but employees may be allowed (or required) to use their accrued paid leave during FMLA leave. When an employee's FMLA leave ends, the employee is entitled to be reinstated to the same or an equivalent position, with a few exceptions.

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year. It also requires that their group health benefits be maintained during the leave.

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.

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Indiana File Form for Family and Medical Leave