New Jersey 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

The employee must have worked at least 1,000 hours for that employer during the 12 months before taking leave. Depending on individual circum- stances, FMLA & NJFLA can be used concurrently (if the individual qualifies for both at the same time) or consecutively.

The NJFLA provides employees with up to 12 weeks of protected leave in a 24 month period while FMLA provides up to 12 weeks of leave in a 12 month period. There are many reasons that employees can take leave and that both the New Jersey Family Leave and the Federal Family Medical Leave would occur simultaneously.

The FLI rate continues at 0.08% for the remainder of 2019 and increases as of January 1, 2020 (for calendar year 2020) to 0.16%. Based on the increased 2020 taxable wage base of $134,900, up from $34,400 for 2019, an employee's maximum FLI contribution for 2020 will be $215.84, up from $27.52 for 2019.

FMLA and PFL Concurrent FMLA will run concurrently if the PFL reason and family member also qualifies for FMLA PFL will run concurrently if the FMLA reason and family member also qualifies for PFL, even if the employee chooses not to apply for the paid PFL.

Family Leave benefits are paid until you: return to work, exhaust your maximum benefit entitlement, your child's first birthday, 12 months after adoptive or foster placement, or your family member no longer needs care.

Depending on individual circumstances, FMLA and NJFLA can run concurrently (if the individual quali- fies for both at the same time) or consecutively (if using the programs for different reasons).

New Jersey Family Leave Insurance (FLI) is a partial wage-replacement program. It does not guarantee employer-approved time off or job protection.

Eligible employees may take family leave for up to 12 weeks within any 24-month period, provided the employee makes a reasonable effort to schedule the leave so as to not unduly disrupt the employer's operation. Public employees may use a voluntary furlough of up to 30 work days for FLA or FMLA purposes.

To qualify for Family Leave Insurance in 2022, you must have worked 20 weeks earning at least $240 weekly, or have earned a combined total of $12,000 in the base year. The wages earned during your base year will determine the amount of weekly benefits you may receive, and the total amount you can claim in a given year.

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New Jersey FMLA Leave Periodic Status Report