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FMLA: Forms | U.S. Department of Labor - DOL
- https://www.dol.gov/agencies/whd/fmla/forms
- Family member’s serious health condition, form WH-380-F – use when a leave request is due to the medical condition of the employee’s family member. Help for health care providers – This flier guides healthcare providers through FMLA rules concerning medical certifications. See more
Family and Medical Leave Act | U.S. Department of …
- https://www.dol.gov/agencies/whd/fmla
- 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 …
Family and Medical Leave Act (FMLA) | Benefits.gov
- https://www.benefits.gov/benefit/5895
- The Department of Labor (DOL) Wage and Hour Division enforces the Family and Medical Leave Act (FMLA), which provides workplace protections - unpaid, job protected leave - …
Family and Medical Leave - U.S. Office of Personnel …
- https://www.opm.gov/policy-data-oversight/pay-leave/leave-administration/fact-sheets/family-and-medical-leave/
- Under the Family and Medical Leave Act of 1993 (FMLA), most Federal employees are entitled to a total of up to 12 workweeks of unpaid leave during any 12 …
Division of Temporary Disability and Family …
- https://nj.gov/labor/myleavebenefits/
- Family Leave Insurance. You may apply for Family Leave Insurance benefits if you are bonding with a newborn, newly adopted, or newly placed foster child. You may also apply …
Forms | Paid Family Leave
- https://paidfamilyleave.ny.gov/forms
- Assistance with Forms. If you have difficulty in obtaining the Paid Family Leave forms or need help in completing these forms, please contact the PFL Helpline at (844)-337-6303.
Family and Medical Leave Act (FMLA) …
- https://smartasset.com/financial-advisor/family-medical-leave-act-fmla-forms
- The Family and Medical Leave Act (FMLA) is a law that ensures that employees have access to up to 12 weeks of unpaid, job-protected leave per year for qualified …
Paid Family Leave – Forms and Publications
- https://edd.ca.gov/en/disability/PFL_Forms_and_Publications/
- Visit Online Forms and Publications. Select Keyword (s) or Form Number from the dropdown. Enter DE 2501F for an English form or DE 2501F/S for a Spanish form. …
Washington State's Paid Family and …
- https://paidleave.wa.gov/
- Paid Family and Medical Leave is a new benefit for Washington workers, and lets you take up to 12 weeks of paid time off when you need it most. Learn more and …
Paid Family and Medical Leave documents and forms for …
- https://www.mass.gov/lists/paid-family-and-medical-leave-documents-and-forms-for-massachusetts-employees
- Certification of your Family Member's Serious Health Condition form (PDF 682.71 KB) You, the employee, and your family member's health care provider must fill …
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