Washington File Form for Family and Medical Leave

State:
Multi-State
Control #:
US-AHI-205
Format:
Word
Instant download

Description

This is a AHI file form regarding family and medical leave act. This form is to be kept in the employee's file to document time taken for a leave.
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  • Preview File Form for Family and Medical Leave
  • Preview File Form for Family and Medical Leave

How to fill out File Form For Family And Medical Leave?

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FAQ

Processing times: Our goal is to process complete applications within three weeks.

How do I apply for leave? You can apply online or with a paper application. To request the paper application contact us at (833) 717-2273.

No. PFL does not protect your job. It only provides paid benefits when you need time off work for family leave. However, your job may be protected through other laws, such as the federal Family and Medical Leave Act (FMLA) or the California Family Rights Act (CFRA).

For all leaves except baby bonding, there is a seven-day waiting period before an employee is eligible for PFML benefits. But note, the waiting period may not always be seven days2026. If ESD approves the application, ESD pays the benefit directly to the employee.

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.

How to File a Paid Family Leave (PFL) Claim by MailVisit Online Forms and Publications and order a form online. A form will be mailed to you.Obtain the form from your physician/practitioner or employer.Visit an SDI Office.Call 1-877-238-4373. California Relay Service (711) Provide the PFL number (1-877-238-4373)

Nearly every Washington worker can qualify for Paid Family and Medical Leave as long as they worked a minimum of 820 hours (about 16 hours a week) in Washington over the last year. Full-time, part-time, temporary and seasonal work counts.

After you notify your employer and gather the documents needed, start your application process:Create your account. See the help center for instructions on creating a Paid Leave benefit account.Fill out the online application that applies to you: medical leave or family leave.Upload documents.

Washington's Paid Family and Medical Leave program does not replace the federal Family and Medical Leave Act (FMLA), and in many cases, PFML and FMLA will run concurrently.

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.

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Washington File Form for Family and Medical Leave