New Hampshire 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

Getting a leave of absence can be straightforward if you follow your employer's policies. Many workplaces have specific procedures in place that you must adhere to when submitting your request. By utilizing the New Hampshire Absence From Work Form, you can simplify your submission and improve your chances of approval.

The Emergency Paid Sick Leave Act (EPSLA), implements a new federal paid sick leave law, whereby all employers, including government employers would need to provide up to 80 hours (or the equivalent of two weeks for part-time employees) of paid sick leave to employees for Coronavirus/COVID-19 issues.

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.

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.

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.

1, 2023. The voluntary program, called the Granite State Paid Family Leave Plan, provides New Hampshire workers with 60 percent wage replacement for up to six weeks of work per year if they take time off for personal health or family reasons.

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.

This new law goes into effect on April 2, 2020. Contained within this bill is a provision called The Emergency Paid Sick Leave Act (EPSLA), that mandates that all employers of 500 or fewer employees, including government employers, provide paid sick leave for COVID-19 related issues.

In New Hampshire, employers are not required to provide employees with paid family or sick leave employees may be entitled to 12 weeks of job-protected family and medical leave under the federal Family and Medical Leave Act (FMLA), but that leave is unpaid.

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.

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New Hampshire Absence From Work Form