South Dakota Application for Family Medical Leave of Absence

State:
Multi-State
Control #:
US-425EM
Format:
Word; 
Rich Text
Instant download

Description

This form may be used by an employee to request leave under the FMLA.
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FAQ

The Family & Medical Leave Act (FMLA) is a federal law that applies to employer organizations with 50 or more employees for 20 or more workweeks in the current or previous calendar year.

Three statesCalifornia, New Jersey and Rhode Islandcurrently require paid family leave. In 2016, New York passed the Paid Family Leave Benefits Law, which will take effect Jan. 1, 2018. A universal paid family leave measure became law in Washington, D.C., in February 2017, and will take effect on July 1, 2020.

FMLA leave is unpaid leave. However, workers may choose to, or employers may require them to, substitute accrued paid sick, vacation, or personal time for FMLA leave. Substitute means that the paid leave provided by the employer will run concurrently with the unpaid FMLA leave.

Yes, both employees are eligible to take paid family leave. The employees may take PFL at the same time but are not required to do so.

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.

In order to be eligible to take leave under the FMLA, an employee must (1) work for a covered employer, (2) work 1,250 hours during the 12 months prior to the start of leave, (3) work at a location where 50 or more employees work at that location or within 75 miles of it, and (4) have worked for the employer for 12

The state has adopted FMLA provisions for state employees. For the 12 weeks provided under FMLA, employees may use a combination of sick, personal and vacation leave, and leave without pay. State employees earn 14 days of sick leave per year.

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South Dakota Application for Family Medical Leave of Absence