This form is an application for Family and Medical Leave. It is to be filled out by an employee who is requesting a leave of absence.
Utah Employee Application for FMLA
State:
Multi-State
Control #:
US-AHI-200
Format:
Word;
Rich Text
Instant download
Description
Free preview
How to fill out Employee Application For FMLA?
If you wish to finish, download, or print legal document templates, utilize US Legal Forms, the premier collection of legal forms that is accessible online.
Employ the site's straightforward and user-friendly search feature to locate the documents you need. Various templates for business and personal purposes are arranged by categories and states, or keywords.
Use US Legal Forms to easily find the Utah Employee Application for FMLA in just a few clicks.
Every legal document template you acquire is yours forever. You have access to every form you obtained in your account. Check the My documents section and select a form to print or download again.
Compete and download, and print the Utah Employee Application for FMLA with US Legal Forms. There are millions of professional and state-specific forms available for your business or personal needs.
- If you are already a US Legal Forms customer, Log In to your account and click the Download button to access the Utah Employee Application for FMLA.
- You can also access forms you previously obtained in the My documents tab of your account.
- If you are using US Legal Forms for the first time, follow the steps below.
- Step 1. Make sure you have selected the form for the correct city/state.
- Step 2. Use the Preview option to review the form’s content. Be sure to read the summary.
- Step 3. If you are unsatisfied with the form, use the Search box at the top of the screen to find alternative versions of the legal form template.
- Step 4. After finding the form you need, click the Buy now button. Select the pricing plan you prefer and enter your details to create an account.
- Step 5. Complete the transaction. You can use your credit card or PayPal account to finalize the transaction.
- Step 6. Choose the format of your legal document and download it to your device.
- Step 7. Complete, modify, and print or sign the Utah Employee Application for FMLA.
Form popularity
FAQ
To apply for FMLA, the employee must take an FMLA Medical Certification Form to their health care provider. This form ensures that the employee's or family member's applicable health condition is valid. After receiving the form, the employee must return it within 15 calendar days.
When an employee requests FMLA to care for a family member with a serious health condition, the same documents are mailed to the employee -- leave of absence request form, certification for the doctor to complete and the official notice that contains the rights and responsibilities of the employee and the employer.
Doctors aren't the only health care providers who may certify FMLA leave. Podiatrists, dentists, clinical psychologists, optometrists and chiropractors can all certify leave, as can nurse practitioners, nurse-midwives, clinical social workers and physician assistants.
The FMLA only requires unpaid leave. However, the law permits an employee to elect, or the employer to require the employee, to use accrued paid vacation leave, paid sick or family leave for some or all of the FMLA leave period.
I 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.
Dear (Supervisor / HR Manager): Please be advised that I hereby request an FMLA leave for a period of (number of weeks) in connection with my serious health condition. The leave is to start on (date). Attached is my medical note reflecting the need for FMLA leave.
In addition to the federal Family and Medical Leave Act (FMLA), some states have their own comprehensive family leave laws that may also require employers to grant employees time off for the birth or adoption of a child or to care for a family member with a serious illness. However, Utah does not have such a law.
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
In addition to the federal Family and Medical Leave Act (FMLA), some states have their own comprehensive family leave laws that may also require employers to grant employees time off for the birth or adoption of a child or to care for a family member with a serious illness. However, Utah does not have such a law.
To be eligible for FMLA you must have a qualifying event and have been employed with the State for 12 months and worked at least 1,250 hours in the 12 months immediately preceding the first day of the leave requested for FMLA.
