This form is an application for Family and Medical Leave. It is to be filled out by an employee who is requesting a leave of absence.
Michigan Employee Application for FMLA
State:
Multi-State
Control #:
US-AHI-200
Format:
Word;
Rich Text
Instant download
Description
Free preview
How to fill out Employee Application For FMLA?
Selecting the appropriate licensed documents template can be quite a challenge. Naturally, there are numerous designs accessible online, but how can you obtain the legal form you need? Utilize the US Legal Forms website.
This service offers a vast array of templates, including the Michigan Employee Application for FMLA, which can be utilized for both business and personal purposes. All forms are reviewed by professionals and comply with federal and state regulations.
If you are already registered, sign in to your account and click the Download button to retrieve the Michigan Employee Application for FMLA. Use your account to review the legal forms you have purchased previously. Navigate to the My documents section of your account to obtain another copy of the documents you need.
Select the document format and download the legal documents template to your device. Complete, edit, print, and sign the obtained Michigan Employee Application for FMLA. US Legal Forms is the largest repository of legal documents where you can discover various paper templates. Take advantage of the service to acquire professionally-prepared documents that adhere to state regulations.
- First, ensure you have selected the correct form for your locality/state.
- You can examine the form using the Preview button and read the form details to ensure it is indeed the correct one for you.
- If the form does not meet your requirements, utilize the Search box to find the appropriate document.
- Once you are confident that the form is suitable, click the Purchase Now button to obtain the form.
- Choose the payment plan you prefer and input the required details.
- Create your account and complete your order using your PayPal account or a credit card.
Form popularity
FAQ
Although FMLA leave is unpaid, 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.
Doctors aren't the only health care providers who may certify FMLA leave. Podiatrists, dentists, clinical psychologists, optometrists and chiropractors can all certify leave, as can nurse practitioners, nurse-midwives, clinical social workers and physician assistants.
Although FMLA leave is unpaid, 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.
To apply for a medical leave of absence:Submit your application: Online, or. Print, complete and fax an Application for Leave of Absence.Have your treating physician complete one of the following: FMLA Certification of a Serious Health Condition, or. Non-FMLA Medical Certification200b
How to File a Paid Family Leave (PFL) Claim by MailVisit Online Forms and Publications and order a form online. A form will be mailed to you.Obtain the form from your physician/practitioner or employer.Visit an SDI Office.Call 1-877-238-4373. California Relay Service (711) Provide the PFL number (1-877-238-4373)16-Feb-2022
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.
To be eligible for FMLA, you must have 12 months of employment with the State of Michigan (does not need to be consecutive) and you must have physically worked 1,250 hours within the previous 12 months. For questions on FMLA eligibility, contact the Disability Management Unit (DMU) by phone at 877-443-6362.
EligibilityHave worked for your employer for at least 12 months; and.Have worked for your employer for at least 1,250 hours in the 12 months before you are taking leave; and.Work at a location where your employer has at least 50 employees within 75 miles of your worksite.
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
