New Hampshire Application for Family Medical Leave of Absence
Description
How to fill out Application For Family Medical Leave Of Absence?
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FAQ
What Are the State Plan Benefits? Eligible employees can receive: Up to six weeks a year with no minimum duration required. 60% of their average weekly wage, capped at the Social Security taxable wage maximum.
Sample LetterI am writing to inform you that I will be taking a sick leave because of a serious infection in my throat. I will be absent from work until October 14. I have attached a note from my doctor to confirm that it is necessary for my health and the health of my coworkers for me to take a medical leave.
Here's how to ask for a leave of absence from your job:Understand your legal rights regarding time off and pay.Make the request in person.Give sufficient advance notice.If possible, work with your boss to develop an agreeable plan.Keep track of relevant paperwork.
Contact your Agency Human Resource representative as soon as you know you will be out due to a FMLA qualifying event. Human Resources will provide you with all the required forms needed to review your request. You will need to: Provide your agency Human Resources with certification of the need for leave.
To be eligible for FMLA leave, an employee must have worked for the employer for at least 12 months and for at least 1,250 hours within the 12-month period prior to the need for the FMLA leave.
Like employers in every state, New Hampshire employers must follow the federal Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid leave for certain reasons. Once an employee's FMLA leave is over, the employee has the right to be reinstated to his or her position.
Your request for a leave of absenceDuring the first paragraph of your letter, state your request for a leave of absence. This is where you include the start date of your absence and the approximate return date. You can include your reason for a leave of absence with as much detail as you feel comfortable with.
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.