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

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FAQ

To take FMLA leave, you must provide your employer with appropriate notice. If you know in advance that you will need FMLA leave (for example, if you are planning to have surgery or you are pregnant), you must give your employer at least 30 days advance notice.

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.

Like employers in every state, Maryland employers must follow the federal Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid leave, with the right to reinstatement, to attend to certain health and family matters.

To be eligible for FMLA benefits, an employee must:Work for a covered employer; Have worked for the employer for a total of 12 months; Have worked at least 1,250 hours over the previous 12 months; and.

To be eligible for FMLA benefits, an employee must:Work for a covered employer;Have worked for the employer for a total of 12 months;Have worked at least 1,250 hours over the previous 12 months; and.More items...?

In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12

Under the FMLA, eligible employees can take up to 12 workweeks of leave per 12-month periods without losing their job or health insurance. The guaranteed leave can be unpaid, and any paid leave can run concurrent to the FMLA leave at the employer's discretion.

With the enactment of the law, Maryland becomes the latest state to establish paid family and medical leave for employees. The Act creates a family and medical leave fund (the Fund) which provides temporary paid leave benefits to covered employees and participating self-employed individuals.

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Maryland Application for Family Medical Leave of Absence