New Hampshire FMLA Leave Periodic Status Report

State:
Multi-State
Control #:
US-265EM
Format:
Word; 
Rich Text
Instant download

Description

This form should be completed by an employee during a periodic inquiry by the employer as to whether an employee on FMLA Leave intends to return to

How to fill out FMLA Leave Periodic Status Report?

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FAQ

Records pertaining to FMLA leave Intermittent leave can be tracked by recording the employee's work schedule and subtracting from it the number of hours they took for FMLA leave. If the employee was scheduled to work 7 hours and only worked 3 hours, then 4 hours of FMLA leave can be counted.

If you are eligible for FMLA leave for these reasons, you are entitled to 12 weeks of unpaid leave in any 12-month period. Your employer may have to provide you with additional medical leave beyond 12 weeks if you need leave because of a disability or the birth of a child.

The FMLA also allows eligible employees to take up to 26 workweeks of unpaid, job-protected leave in a single 12-month period to care for a covered servicemember with a serious injury or illness.

Below is a summary and descriptions of reasons that qualify for FMLA leave under current FMLA regulations.Parental Leave after the Birth of a Child.Pregnancy Leave.Adoption or Foster Care.Medical Leave to Care for a Family Member with a Serious Health Condition.Medical Leave for Your Own Serious Health Condition.More items...?

In New Hampshire, employees may take up to 12 weeks of leave in a 12-month period for a serious health condition, bonding with a new child, or qualifying exigencies. This leave is available every 12 months, as long as the employee continues to meet the eligibility requirements explained above.

For example, an employer considers Thanksgiving a holiday and is closed on that day, and none of its employees work. One of its employees is taking 12 weeks of unpaid FMLA leave the last 12 weeks of the calendar year. The employer would count Thanksgiving Day as FMLA leave for that employee.

For the rolling backwards method, each time an employee requests more FMLA leave, the employer uses that date and measures 12 months back from it. An employee would be eligible for remaining FMLA leave he or she has not used in the preceding 12-month period.

Even though it is episodic, and temporary, if it interferes with a major life activity, theoretically, bad menstrual pain may qualify as a disability under the ADA.

In some cases, a woman may be able to take advantage of FMLA (Family and Medical Leave Act) time to undergo treatment, to complete post-treatment recovery, or when symptoms are severe. FMLA helps individuals take time off when they are in need, without fear of losing their job.

Under the ''rolling'' 12-month period, each time an employee takes FMLA leave, the remaining leave entitlement would be the balance of the 12 weeks which has not been used during the immediately preceding 12 months.

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New Hampshire FMLA Leave Periodic Status Report