Michigan Absence From Work Form

State:
Multi-State
Control #:
US-AHI-262
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is to be filled out by an employee who will be absent form work for various reasons. The employee checks one of the reasons listed and gives dates and times for the absence.

How to fill out Absence From Work Form?

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FAQ

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

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.

How Much FMLA Leave Is Available in Michigan? Michigan workers have up to 12 weeks FMLA in a 12-month time frame for health conditions, new babies, or other circumstances. These weeks renew every year as long as the worker meets eligibility requirements.

A leave of absence is authorized time away from work, often for special circumstances in an employee's life. A leave of absence may be paid or unpaid. Some laws cover certain instances of leave, such as jury duty and military service.

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 Certification. Not sure if you qualify under the FMLA?

Not to be confused with paid time off (PTO) and vacation time, a leave of absence is a way for employees who are experiencing out-of-the-ordinary circumstances to take time off work. Common reasons are childbirth, adoption, caring for an ill family member, serious health conditions or military leave.

In Michigan, employers must (as of March 29, 2019) allow employees to accrue up to 1 hour of sick leave for every 35 hours worked. The act further requires that an employer shall allow an eligible employee to use up to 40 hours of sick leave per 12-month period of eligibility.

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.

How Much FMLA Leave Is Available in Michigan? Michigan workers have up to 12 weeks FMLA in a 12-month time frame for health conditions, new babies, or other circumstances. These weeks renew every year as long as the worker meets eligibility requirements.

However, Michigan is one of the states that does not offer any additional family or medical leave rights beyond what the federal FMLA allows.

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Michigan Absence From Work Form