Michigan Leave of Absence Application Form

State:
Multi-State
Control #:
US-AHI-269
Format:
Word; 
Rich Text
Instant download

Description

This AHI form is to be filled by an employee who is requesting a leave regarding medical, family, military, or personal leave.

How to fill out Leave Of Absence Application Form?

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FAQ

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.

Leave and Reinstatement RightsAlthough 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

If, during FMLA leave, he informs you he doesn't intend to return to work, you should require him to submit either a letter of resignation or other formal documentation before initiating the termination of employment and benefits.

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

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.

Though the FMLA itself is unpaid, it is sometimes possible under certain specific circumstances to use paid leave that you've accrued on the job as a way to get paid during your FMLA leave. The types of paid leave that might be considered include vacation days and sick days, as well as other types of paid leave.

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.

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.

Employers in every state, including Michigan, are subject to the federal Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid leave, with the right to reinstatement, for certain reasons.

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Michigan Leave of Absence Application Form