Miami-Dade Florida Family and Medical Leave Request Form
Description
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FAQ
Employees are eligible for leave if they have worked for their employer at least 12 months, at least 1,250 hours over the past 12 months, and work at a location where the company employs 50 or more employees within 75 miles.
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. Please let me know whether you approve this leave at your earliest convenience.
(Q) Is my employer required to pay me when I take FMLA leave? 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.
Like employers throughout the country, Florida employers must comply with the federal Family and Medical Leave Act (FMLA), which allows eligible employees to take unpaid leave, with the right to reinstatement, for certain reasons.
Applying for FMLA Employers must return the FMLA notification form to the employee within two days of receiving the FMLA request. An employee must prove they have a serious medical condition which involves continuous treatment or inpatient care verified by a health care provider.
The Family and Medical Leave Act guarantees the right to take up to 12 weeks of unpaid, job-protected leave. During the time when you are on leave, your employers must continue your group health insurance coverage under the same terms and conditions as if you were an active working employee not on leave.
FMLA entitles eligible employees to take unpaid leave. Under certain conditions, employees may ?substitute,? or run at the same time as their FMLA leave, accrued paid leave (such as sick or vacation leave) to cover some or all of the period of FMLA leave.
Family and Medical Leave Act (FMLA) Your own serious health condition when it makes you unable to perform your job, including time when you are out on short-term disability or Workers' Compensation. Birth or adoption of a child. Providing foster care for a child. Serious health condition of spouse, children, parents.
Up to 12 weeks of leave in any 12 month period, and up to 26 weeks to care for a covered service member with a serious injury or illness.
FMLA leave is unpaid, but employees may be allowed (or required) to use their accrued paid leave during FMLA leave. When an employee's FMLA leave ends, the employee is entitled to be reinstated to the same or an equivalent position, with a few exceptions.
