Louisiana Application for Family Medical Leave of Absence

State:
Multi-State
Control #:
US-425EM
Format:
Word; 
Rich Text
Instant download

Description

This form may be used by an employee to request leave under the FMLA.

How to fill out Application For Family Medical Leave Of Absence?

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FAQ

Like employers in every state, Louisiana employers must follow the federal Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid leave, with the right to reinstatement, for certain reasons.

Does the law guarantee paid time off? No. The FMLA only requires unpaid leave. However, the law permits an employee to choose, or the employer to require the employee, to use accrued paid leave, such as vacation or sick leave, for some or all of the FMLA leave period.

Eligibility for FMLA:Must have been employed by the state for at least 12 months. The State of LA is considered is one employer. Must have physically worked for at least 1,250 hours during the 12-month period before beginning FMLA. 12 months need not be consecutive months.

Eligibility for FMLA:The State of LA is considered is one employer. Must have physically worked for at least 1,250 hours during the 12-month period before beginning FMLA. 12 months need not be consecutive months.

Your request for a leave of absenceDuring the first paragraph of your letter, state your request for a leave of absence. This is where you include the start date of your absence and the approximate return date. You can include your reason for a leave of absence with as much detail as you feel comfortable with.

Like employers in every state, Louisiana employers must follow the federal Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid leave, with the right to reinstatement, for certain reasons.

Employees are eligible to take FMLA leave if they have worked for their employer for at least 12 months, have worked for at least 1,250 hours over the previous 12 months, and work at a location where at least 50 employees are employed by the employer within 75 miles.

Louisiana's Employment Discrimination Law gives you the right to take pregnancy leave, and the federal Family Medical Leave Act (FMLA) gives you the right to take unpaid leave for pregnancy, childbirth, or parenting.

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, Louisiana does not have such a law.

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Louisiana Application for Family Medical Leave of Absence