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.
Hillsborough Florida Employee Application for FMLA
State:
Multi-State
County:
Hillsborough
Control #:
US-AHI-200
Format:
Word;
Rich Text
Instant download
Description
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How to fill out Employee Application For FMLA?
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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.
Employees are eligible for FMLA leave if: they have worked for the company for at least a year. they worked at least 1,250 hours during the previous year, and. they work at a location with at least 50 employees within a 75-mile radius.
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.
It is against the law for a covered employer to deny an eligible employee's proper request for FMLA leave. Your employer can't require you to perform any work while you are on approved FMLA leave.
Unpaid, unless you have accrued leave credits (regardless of whether you qualify for short-term disability or Workers' Compensation benefits). As long as you return to work at or before the end of the allowed leave, you will return to your former position or one that is equivalent in terms of benefits, pay and status.
The FMLA entitles eligible employees of covered employers to take unpaid, job-protected leave for specified family and medical reasons with continuation of group health insurance coverage under the same terms and conditions as if the employee had not taken leave.
In addition, when a student accumulates ten unexcused absences (not including suspensions) within a 90-calendar day period, a computer generated letter will be sent to the parent or guardian. Students who display a pattern of non-attendance may be required to present medical evidence.
Applying for FMLA The employee's health care provider must complete a certification form that validates the employee's serious health condition or that of an immediate family member. The employee must provide this certification to the employer within 15 calendar days of receiving it.
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.
It's insane Hillsborough County doesn't do quarterly or random drug testing of their teachers and support staff. This needs to change if we want our students to be better.
