Minnesota Application for Family Medical Leave of Absence

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

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

Eligibility - all working Minnesotans, including small business owners & those self-employed are eligible for up to 12 weeks of medical leave & up to 12 weeks of family leave.

The law does not require that sick leave be paid. However, if the employer provides paid time off for the illness or injury of the worker, time off for the illness or injury of a family member must also be paid.

Employees are eligible for FMLA leave if: they have worked for the company for at least a year. they worked at least 1,250 hours during the previous year, and. they work at a location with at least 50 employees within a 75-mile radius.

The Minnesota State Parental Leave Act covers you if your employer has at least 21, but less than 50, employees. It only covers leave if you have a child, not other types of medical leave. The Department of Labor has more information about this law.

CAN YOU COLLECT UNEMPLOYMENT BENEFITS WHILE ON FMLA LEAVE? Generally no, you are not eligible for unemployment benefits if you take medical leave under the Family and Medical Leave Act and you cannot work. 2. The employee is on a leave of absence while he or she is unable to work or unavailable for work.

To be eligible for FMLA benefits, you must:Work for an employer to whom the FMLA applies.Have been employed by the employer for at least 12 months.Have worked for at least 1,250 hours during the 12-month period right before the start of the leave.More items...

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.

Eligibility - all working Minnesotans, including small business owners & those self-employed are eligible for up to 12 weeks of medical leave & up to 12 weeks of family leave.

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

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Minnesota Application for Family Medical Leave of Absence