Puerto Rico Employer FMLA Response - Form WH-381

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Multi-State
Control #:
US-426EM
Format:
Word; 
Rich Text
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Description

This form is used by an employer to provide a response to a request for leave under the FMLA.
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  • Preview Employer FMLA Response - Form WH-381
  • Preview Employer FMLA Response - Form WH-381
  • Preview Employer FMLA Response - Form WH-381

How to fill out Employer FMLA Response - Form WH-381?

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FAQ

Employers typically respond to FMLA leave requests by providing the employee with the Notice of Eligibility and Rights & Responsibilities (Form WH-381) and a medical certification form.

PROVIDE TO EMPLOYEE. While use of this form is optional, a fully completed Form WH- 381 provides employees with the information required by 29 C.F.R. ? 825.300(b), (c) which must be provided within five business days of the employee notifying the employer of the need for FMLA leave.

If you are not eligible for FMLA, you may still be eligible for a Medical Leave under Civil Service Rules or your collective bargaining agreement.

EligibilityHave worked for your employer for at least 12 months; and.Have worked for your employer for at least 1,250 hours in the 12 months before you are taking leave; and.Work at a location where your employer has at least 50 employees within 75 miles of your worksite.

This form, like 380-E, requires the employer, employee, and the health care practitioner to complete specific information. Your relative's medical provider must complete the rest of the form with information similar to that required by Form 380-E, such as: When the condition began.

The Family and Medical Leave Act (FMLA) provides certain employees with up to 12 weeks of unpaid, job-protected leave per year.

Maternity Leave in Texas under FMLAFMLA allows many mothers to take time off during pregnancy (if needed), while recovering after giving birth, and to care for and bond with her new child. Fathers who are eligible employees are able to take up to 12 weeks of leave as well, to care for and bond with his new child.

Among the forms changed were the WH-381, the notice of eligibility and rights and responsibilities; WH-382, designation notice; WH-380-E, medical certification of an employee's serious health condition; and WH-380-F, medical certification of a family member's serious health condition.

Among the forms changed were the WH-381, the notice of eligibility and rights and responsibilities; WH-382, designation notice; WH-380-E, medical certification of an employee's serious health condition; and WH-380-F, medical certification of a family member's serious health condition.

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Puerto Rico Employer FMLA Response - Form WH-381